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Individual

JOSEPH H. FELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 HOSPITAL STREET, STE. 100A, BOONEVILLE, MS 38829
(662) 720-3035
(662) 720-3066
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5827
(901) 226-3172
(901) 226-3191

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
018247
ME
208600000X
Surgery Physician
21966
MS
208600000X
Surgery Physician
Primary
70563
WI

Other

Enumeration date
02/23/2007
Last updated
02/14/2019
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