Individual
MR. JACK A FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3623 J DEWEY GRAY CIRCLE, SUITE 101, AUGUSTA, GA 30909
(706) 868-5057
(706) 855-1244
Mailing address
3623 J DEWEY GRAY CIRCLE, SUITE 101, AUGUSTA, GA 30909
(706) 868-5057
(706) 855-1244
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
019942
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00208535C
—
GA
Enumeration date
12/19/2005
Last updated
08/20/2010
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