Individual
DR. LYNN F FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
345 FRESHFIELDS DR, STE J101, JOHNS ISLAND, SC 29455-5443
(843) 768-4800
(843) 768-1124
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
752
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007520
—
SC
01
—
P00406078
RAILROAD MEDICARE #
SC
01
—
P00886829
RAILROAD MC ID-RSFPN
SC
Enumeration date
06/08/2006
Last updated
10/20/2015
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