Provider Demographics
NPI:1306002977
Name:FEINMAN, MAXWELL CARLTON (MD)
Entity Type:Individual
Prefix:DR
First Name:MAXWELL
Middle Name:CARLTON
Last Name:FEINMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4405 WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-1141
Mailing Address - Country:US
Mailing Address - Phone:434-384-2467
Mailing Address - Fax:434-384-5177
Practice Address - Street 1:4405 WILLIAMS RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503-1141
Practice Address - Country:US
Practice Address - Phone:434-384-2467
Practice Address - Fax:434-384-5177
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101012212174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist