Individual
THEODORE A FEINTUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2333 MCCALLIE AVE, CHATTANOOGA, TN 37404-3258
(423) 493-1550
(423) 698-7858
Mailing address
PO BOX 51530, KNOXVILLE, TN 37950-1530
(865) 588-2928
(865) 450-9374
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
029275
GA
207ZP0101X
Anatomic Pathology Physician
Primary
MD005138
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00544717A
—
GA
01
—
100011601
PHP OF TN
—
01
—
1140003
UNITED HEALTHCARE
—
01
—
220020930
RAILROAD MEDICARE
—
01
—
264946
BLACK LUNG
—
01
—
3031326
BC/BS OF TN
—
05
—
30403371
—
TN
05
—
3383335
—
TN
05
—
89063XE
—
NC
01
—
PAYSUB
TRIGON
—
01
—
TN0101
JOHN DEERE HEALTH
—
Enumeration date
10/06/2005
Last updated
10/22/2008
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