Individual
DR. JEFF E FLICKINGER
Active
Individual
DR. JEFF E FLICKINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD0000024828
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020252399
EEOICP
TN
01
—
1669416442
GROUP NPI
TN
01
—
3106057
BLUE CROSS
TN
01
—
3106069
BLUE CROSS
TN
05
—
3813049
—
TN
01
—
CI2260
RAILROAD MEDICARE
TN
Enumeration date
07/29/2005
Last updated
06/29/2020
Update your record
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