Individual
JOANNA MARIE LARICCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1764
(678) 843-7990
(678) 843-4969
Mailing address
PO BOX 52007, ATLANTA, GA 30355-0007
(678) 397-0060
(678) 397-0065
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
057881
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933254
—
AL
Enumeration date
05/05/2006
Last updated
12/29/2015
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