Organization
BRENT A FLICKINGER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT A FLICKINGER MD (OWNER)
(770) 531-3711
Entity
Organization
Contact information
Practice address
961 SMOKY MOUNTAIN SPRINGS LN NE, STE A, GAINESVILLE, GA 30501-2418
(770) 531-3711
(770) 531-3718
Mailing address
961 SMOKY MOUNTAIN SPRINGS LN NE, STE A, GAINESVILLE, GA 30501-2418
(770) 531-3711
(770) 531-3718
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
059065
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
747995060A
—
GA
Enumeration date
10/10/2008
Last updated
10/10/2008
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