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Individual

R WYATT FEAGIN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1009 MONTGOMERY HWY, SUITE 200, BIRMINGHAM, AL 35216-2805
(205) 397-9400
(205) 397-9455
Mailing address
1009 MONTGOMERY HWY, SUITE 200, BIRMINGHAM, AL 35216-2805
(205) 397-9400
(205) 397-9455

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00014092
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000087072
AL
Enumeration date
07/21/2005
Last updated
02/24/2016
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