Individual
MARY M FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 PROFESSIONAL PL, SUITE 110, CARROLLTON, GA 30117-3874
(770) 834-0818
Mailing address
3707 RANDALL MILL RD NW, ATLANTA, GA 30327-2713
(504) 231-5544
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2003004218
MO
207ND0900X
Dermatopathology Physician
Primary
69403
GA
207ZD0900X
Dermatopathology (Pathology) Physician
2003004218
MO
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2003004218
MO
Other
Enumeration date
07/24/2006
Last updated
04/19/2017
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