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Organization

FEAGIN & OWEN, M.D.., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY C BYRD (INSURANCE)
(334) 793-7211
Entity
Organization

Contact information

Practice address
4300 W MAIN ST, SUITE 43, DOTHAN, AL 36305-1054
(334) 793-7211
(334) 793-5425
Mailing address
4300 W MAIN ST, SUITE 43, DOTHAN, AL 36305-1054
(334) 793-7211
(334) 793-5425

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
13944
AL
261QM2500X
Medical Specialty Clinic/Center
Primary
7921
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000011782
AL
05
000082133
AL
01
11782
BCBS OF ALABAMA PROVIDER NUMBER -- CHARLES FEAGIN, M.D.
AL
01
1427141282
INDIVIDUAL NPI FOR DR. CHARLES FEAGIN
AL
01
1619062064
INDIVIDUAL NPI FOR DR. WILLIAM I. OWEN
AL
01
529001560
ALABAMA MEDICAID PAYEE ID: 529001560
AL
01
82133
BCBS OF ALABAMA PROVIDER FOR DR. WILLIAM I. OWEN, JR
AL
Enumeration date
09/23/2008
Last updated
10/09/2008
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