Feldman, Jack A
Feldman, Jack A is an individual health care provider with primary practice located at 3623 J Dewey Gray Circle Suite 101, Augusta GA 30909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Feldman, Jack A can be contacted via phone (706) 868-5057.Contact Information
Primary practice address
3623 J Dewey Gray Circle Suite 101
Augusta GA 30909
Phone: (706) 868-5057
Fax: (706) 855-1244
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 019942 | Georgia |
Profile Details
| NPI number | 1891771150 |
|---|---|
| LBN Legal business name | Feldman, Jack A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Aug 20th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891771150 | NPPES |
| Georgia | MEDICAID | 00208535C |
Popular Providers
-
Colquhoun, Steven D.
1120 15Th St , Augusta GA 30912-0004 -
Carlson, Chris Charles
1430 Harper St Building B, Augusta GA 30901-0617 -
Jenkins, Barry J
1348 Walton Way Ste 6500 , Augusta GA 30901-5111 -
Keeley, John Stewart
3647 J Dewey Gray Cir Ste 200 , Augusta GA 30909-2205 -
Jacome, Francisco Javier
2101 Central Ave , Augusta GA 30904-6706 -
Abuzeid, Adil M
1120 15Th St # Ba-4411 Georgia Regents Medical Associates, Augusta GA 30912-0004 -
Cooper, Randy Wilson
818 Saint Sebastian Way Ste 104 , Augusta GA 30901-2652 -
Bates, Jay Newton
1430 Harper St Building B, Augusta GA 30901-0617