Individual
DR. JEFF E FLICKINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 LAUREL AVE, SUITE 502, KNOXVILLE, TN 37916-1810
(865) 331-9000
(865) 331-7000
Mailing address
2001 LAUREL AVE, SUITE 502, KNOXVILLE, TN 37916-1810
(865) 331-9000
(865) 331-7000
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
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