1194898940 NPI number — MRS. AMIE ALAGOOD LOCICERO P.T.

Table of content: MRS. AMIE ALAGOOD LOCICERO P.T. (NPI 1194898940)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194898940 NPI number — MRS. AMIE ALAGOOD LOCICERO P.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOCICERO
Provider First Name:
AMIE
Provider Middle Name:
ALAGOOD
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
P.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194898940
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/23/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4727 ARDMORE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOSCHTON
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30548-6228
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-307-5909
Provider Business Mailing Address Fax Number:
678-377-2882

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
545 OLD NORCROSS RD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
LAWRENCEVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30046-3389
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-377-2833
Provider Business Practice Location Address Fax Number:
678-377-2882
Provider Enumeration Date:
11/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  004192 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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