Provider Demographics
NPI:1326246737
Name:FEINER, ALYSSA MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:MICHELLE
Last Name:FEINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5680 SHADY GROVE RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2424
Mailing Address - Country:US
Mailing Address - Phone:901-761-7801
Mailing Address - Fax:
Practice Address - Street 1:142 COLLINS ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-3810
Practice Address - Country:US
Practice Address - Phone:866-957-0425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46681207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology