- Practice location
- 550 Peachtree St NE, Atlanta, GA 30308
- Phone
- 404-686-3845
- Fax
- —
- Last updated
- October 10, 2021
William Joseph Lick is an Emergency Medicine based in Atlanta, GA. William Joseph Lick practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for William Joseph Lick is 1033506274 and holds a License No. 61361 (CT). The current practice location address for William Joseph Lick is 550 Peachtree St NE, Atlanta, GA 30308 and can be reached out via phone at 404-686-3845.
Provider Profile Details
- NPI Number
- 1033506274
- Provider Name
- William Joseph Lick
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 550 Peachtree St NE, Atlanta, GA 30308
- Phone Number
- 404-686-3845
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- No
- Other Names
- Dr. Corky Lick, MD (Other Name)
- Provider Enumeration Date
- April 24, 2015
- Last Update Date
- October 10, 2021
- Certification Date
- October 10, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 550 Peachtree St NE
Atlanta, GA 30308 - City
- Atlanta
- State
- Georgia
- Zip
- 30308
- Phone Number
- 404-686-3845
Provider Business Mailing Address Details
- Address
- 4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435 - City
- Bloomington
- State
- MN
- Zip
- 55435-5435
- Phone Number
- 952-835-9880
- Fax Number
- 952-857-1554
License Information
- License Number (1)
- 61361
- License State (1)
- CT
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- License Number (2)
- 82768
- License State (2)
- GA
- Taxonomy (2)
- Emergency Medicine · 207P00000X
- License Number (3)
- 70308
- License State (3)
- MN
- Taxonomy (3)
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of William J Lick, MD?
The NPI number of William J Lick, MD is 1033506274. It was assigned on April 24, 2015 and is currently active in the NPPES registry.
What is the specialty of William J Lick, MD?
William J Lick, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in CT under license number 61361.
Where does William J Lick, MD practice?
The practice location is 550 Peachtree St NE, Atlanta, GA 30308. The office can be reached at 404-686-3845 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033506274 directly on the NPPES registry website.