Individual
JOHN PASCHAL LICATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 AL HIGHWAY 157, CULLMAN, AL 35058-1271
(256) 735-5075
(256) 964-3382
Mailing address
PO BOX 2895, CULLMAN, AL 35056-2895
(256) 735-5044
(256) 801-7626
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2020-00623
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD47191
MEDICAL LICENSE
AL
Enumeration date
03/27/2017
Last updated
02/11/2026
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