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NPI Code Detail

MEDICARE: DR. PAUL L FLICKER MD

MEDICARE: DR. PAUL L FLICKER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist026852GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1026852OTHERGAMEDICAL LICENSE

General Provider Information

NPI Number : 1669796512
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL L FLICKER MD
Provider Business Mailing Address
First Line : 791 OAK ST
Second Line :
City : HAPEVILLE
State : GA
Zip : 30354-1748
Country : US
Telephone Number : 404-601-2000
Fax Number : 404-559-0257
Provider Business Practice Location Address
First Line : 791 OAK ST
Second Line :
City : HAPEVILLE
State : GA
Zip : 30354-1748
Country : US
Telephone Number : 404-601-2000
Fax Number : 404-559-0257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2010
Last Update Date : 03/07/2023

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Directions to “ DR. PAUL L FLICKER MD” Practice Location

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