Individual provider · Type 1 NPI

Jay Thomas Fickle Iii, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1689293110 Active

Practice location

4190 City Ave
Philadelphia, PA 19131-1626

Call (215) 871-6690 Map

Mailing address

703 Milledge Rd
Augusta, GA 30904-4349

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689293110

Jay Thomas Fickle Iii, DO's National Provider Identifier is 1689293110, issued on Apr 14, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 14, 2020.