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Jordan Licata, DO
Otolaryngology Physician in Tullahoma, Tennessee
NPI 1952795106

Jordan Licata is a Otolaryngology Physician based in Tullahoma, TN. Jordan Licata practices in Tullahoma, TN and has the professional credentials of DO. The NPI Number for Jordan Licata is 1952795106 and holds a License No. 05799 (Tennessee).

The current practice location address for Jordan Licata is 1821 N Washington St, Tullahoma, TN and can be reached out via phone at 931-461-5056 and via fax at 931-455-4450.

Location: 1821 N Washington St, Tullahoma, TN, 37388-2221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952795106
Provider Name
Jordan Licata
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1821 N Washington St, Tullahoma, TN, 37388-2221
Phone Number
931-461-5056
Fax Number
931-455-4450
Provider Enumeration Date
03/26/2015
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
1821 N Washington St
City
Tullahoma
State
Tennessee
Zip
37388-2221
Phone Number
931-461-5056
Fax Number
931-455-4450
person
Provider Business Mailing Address Details
Address
1821 N Washington St
City
Tullahoma
State
Tennessee
Zip
37388-2221
Phone Number
931-461-5056
Fax Number
931-455-4450
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
05799 (Kentucky)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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