Provider Demographics
NPI:1952435828
Name:FLICK, ARTHUR BARTHOLOMEW (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:BARTHOLOMEW
Last Name:FLICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:156 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:GA
Mailing Address - Zip Code:30525-4266
Mailing Address - Country:US
Mailing Address - Phone:706-782-4799
Mailing Address - Fax:706-782-0922
Practice Address - Street 1:156 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:GA
Practice Address - Zip Code:30525-4266
Practice Address - Country:US
Practice Address - Phone:706-782-4799
Practice Address - Fax:706-782-0922
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA030457208100000X
GA30457207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000253297Medicare UPIN