Joseph L Micca, MD | |
1938 Rand Ridge Ct, Marietta, GA 30062-5340 | |
(770) 888-2524 | |
Not Available |
Full Name | Joseph L Micca |
---|---|
Gender | Male |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 1938 Rand Ridge Ct, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376655712 | NPI | - | NPPES |
00646929C | Medicaid | GA | |
110140782 | Other | GA | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 39179 (Georgia) | Primary |
Entity Name | Joseph L. Micca, Md |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386917425 PECOS PAC ID: 3870757784 Enrollment ID: O20120605000549 |
Mailing Address | Practice Location Address |
---|---|
Joseph L Micca, MD 1938 Rand Ridge Ct, Marietta, GA 30062-5340 Ph: (770) 888-2524 | Joseph L Micca, MD 1938 Rand Ridge Ct, Marietta, GA 30062-5340 Ph: (770) 888-2524 |
Anu Kurl, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 400 Tower Rd Ne Ste 160, Marietta, GA 30060 Phone: 770-420-1690 Fax: 770-420-1661 | |
Dr. Saba Amajd Munir, DO Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 55 Whitcher St Ne Ste 460, Marietta, GA 30060 Phone: 770-427-7389 | |
Dr. Sharon M Odell, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 Tower Rd Ne, Marietta, GA 30060 Phone: 770-427-4682 Fax: 770-499-8562 | |
Dr. Helga Annalina Bahr, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 580 Atlanta Country Club Drive, Marietta, GA 30068 Phone: 770-988-8554 | |
Dr. Kaynessa Celena Providence, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 Tower Rd Ne, Marietta, GA 30060 Phone: 770-427-4682 Fax: 770-499-8562 | |
Dr. Ryan V Cantwell, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Kennestone Hospital Blvd, Suite 201, Marietta, GA 30060 Phone: 770-427-2457 Fax: 770-427-2706 | |
Dr. Joanne Zhiwen Zhu, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne # 111, Marietta, GA 30060 Phone: 770-793-7750 |