Individual
SAMUEL H FEASTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 LAUREL AVE, SUITE N304, KNOXVILLE, TN 37916-1810
(865) 546-9484
Mailing address
2001 LAUREL AVE, SUITE N304, KNOXVILLE, TN 37916-1810
(865) 546-9484
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD21546
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3372353
—
TN
Enumeration date
01/23/2006
Last updated
07/08/2007
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