Mary L Feagans in Hattiesburg - Physician Assistant
Mary L Feagans - NPI 1871572578
Mary L Feagans is a Physician Assistant in Hattiesburg, Mississippi. Mary L Feagans practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary L Feagans is 1871572578. The last update date is 2012-10-24.
Mary L Feagans's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6012685800 and fax number 6012613530. The mailing address for Mary L Feagans is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary L Feagans |
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Address | 415 S 28th Ave, Hattiesburg, Mississippi |
Phone Number | 6012685800 |
Fax Number | 6012613530 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1871572578 |
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Provider Enumeration Date | 2006-01-11 |
Last Updated Date | 2012-10-24 |
Provider Mailing Address Detail
Address | 415 S 28th Ave |
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City | Hattiesburg |
State | Mississippi (MS) |
Post Code | 394017246 |
Phone Number | 6012685800 |
Fax Number | 6012613530 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA00165 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1591149 | LA | -- | |
5202536 | MS | -- | |
9464394 | MS | AETNA | |
3122240 | MS | UNITED HEALTHCARE | |
302I978316 | MS | MEDICARE PTAN | |
8740773 | MS | CIGNA |
Post Comment/ Review Below
What is the unique identifier code issued to Mary L Feagans by the Centers for Medicare & Medicaid Services?
The Mary L Feagans has been assigned the NPI (National Provider Identifier) 1871572578. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mary L Feagans is physically located?
The Mary L Feagans is situated at the following address: 415 S 28Th Ave, Hattiesburg, MS 394017246.
What is Mary L Feagans's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mary L Feagans is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1871572578 assigned to Mary L Feagans?
The Mary L Feagans was issued its 1871572578 on 2006-01-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mary L Feagans most recently updated?
The details pertaining to the Mary L Feagans, including its address, specialty, and other relevant information, were last refreshed on 2012-10-24.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY