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NPI Code Detail

MEDICARE: JEFFREY KLICK MD

MEDICARE: JEFFREY KLICK 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
1208000000XPediatrics Physician65581GA
22080H0002XPediatric Hospice and Palliative Medicine PhysicianU5735TX

General Provider Information

NPI Number : 1760402002
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY KLICK MD
Provider Business Mailing Address
First Line : 5461 MERIDIAN MARK RD STE 320
Second Line :
City : ATLANTA
State : GA
Zip : 30342-4014
Country : US
Telephone Number : 404-785-3240
Fax Number : 404-785-3600
Provider Business Practice Location Address
First Line : 5461 MERIDIAN MARK RD STE 320
Second Line :
City : ATLANTA
State : GA
Zip : 30342-4014
Country : US
Telephone Number : 404-785-3240
Fax Number : 404-785-3600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 10/02/2025

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Directions to “ JEFFREY KLICK MD” Practice Location

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