Individual
MR. FREDRIC WARREN FEIST SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 5TH AVE NW, ATTALLA, AL 35954-2214
(256) 492-7800
(256) 494-5536
Mailing address
425 5TH AVE NW, ATTALLA, AL 35954-2214
(256) 492-7800
(256) 494-5536
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3258
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000002083
—
AL
01
—
51002083
BLUE CROSS OF ALABAMA
—
01
—
51502083
BLUE CROSS OF ALABAMA
—
Enumeration date
11/06/2006
Last updated
09/18/2020
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