Individual
HOWARD W KLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
139 MEDICAL CENTER DR, GAFFNEY, SC 29340
(864) 487-7186
(864) 487-7246
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28209
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282090
—
SC
01
—
4111064
AETNA
SC
05
—
5902122
—
NC
01
—
AA10309068
MEDICARE PIN
SC
01
—
AA1030J577
MEDICARE PIN
SC
01
—
E2006
MEDCOST
SC
Enumeration date
01/27/2006
Last updated
01/28/2021
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