Mary L Feagans is a Medical in Hattiesburg, Mississippi. Mary L Feagans practices all healthcare services and medical treatments related to Medical. 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 |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6012685800 |
| Fax Number | 6012613530 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1871572578 |
|---|---|
| Provider Enumeration Date | 2006-01-11 |
| Last Updated Date | 2012-10-24 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6012685800 |
| Fax Number | 6012613530 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA200038 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
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 Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
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