Organization
EXPRESS HEALTH CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY B LICATA II (PRESIDENT)
(954) 336-0409
Entity
Organization
Contact information
Practice address
3149 E SHADOWLAWN AVE NE, ATLANTA, GA 30305-2405
(404) 549-7021
(404) 549-7957
Mailing address
3149 E SHADOWLAWN AVE NE, ATLANTA, GA 30305-2405
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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