Individual
SAMUEL L. FEATHERSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1707 MEADOWS LN STE G, VIDALIA, GA 30474-7201
(912) 535-5120
(912) 535-2015
Mailing address
1707 MEADOWS LN STE G, VIDALIA, GA 30474-7201
(912) 535-5120
(912) 535-2015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
055045
GA
207R00000X
Internal Medicine Physician
ME119873
FL
Other
Enumeration date
10/28/2005
Last updated
02/09/2022
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