Organization
MARC F. FEDDER, MD, PA
Active
Organization
MARC F. FEDDER, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC FREDRIC FEDDER MD, FACP (PRESIDENT)
(336) 249-4296
Entity
Organization
Contact information
Practice address
206 W CENTER ST STE B, LEXINGTON, NC 27292-3056
(336) 249-4296
(336) 249-1893
Mailing address
PO BOX 557, LEXINGTON, NC 27293-0557
(336) 249-4296
(336) 249-1893
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26817
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110006374
RAILROAD MEDICARE
—
01
—
2310
PARTNERS
—
01
—
31450
BLUE CROSS
—
05
—
8931450
—
NC
Enumeration date
02/27/2008
Last updated
12/14/2009
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