Individual
DR. DANIEL M FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16741 GA HIGHWAY 67, SUITE F, STATESBORO, GA 30458-2528
(912) 681-4555
(912) 681-6551
Mailing address
2014 GLEN OAKS DR, STATESBORO, GA 30461-4419
(912) 489-6129
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
021682
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000205114G
—
GA
Enumeration date
11/13/2006
Last updated
07/09/2007
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