Individual
MARY L FEAGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5800
(601) 261-3530
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5800
(601) 261-3530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00165
MS
363AM0700X
Medical Physician Assistant
PA200038
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05202536
—
MS
05
—
1591149
—
LA
01
—
302I978316
MEDICARE PTAN
MS
01
—
3122240
UNITED HEALTHCARE
MS
01
—
8740773
CIGNA
MS
01
—
9464394
AETNA
MS
Enumeration date
01/11/2006
Last updated
10/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us