Provider Demographics
NPI:1437384294
Name:FEAGINS MEDICAL GROUP, PLLC
Entity Type:Organization
Organization Name:FEAGINS MEDICAL GROUP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHINDANA
Authorized Official - Middle Name:LARYCE
Authorized Official - Last Name:FEAGINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-305-5712
Mailing Address - Street 1:912 PHILLIPS ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-3142
Mailing Address - Country:US
Mailing Address - Phone:615-305-5712
Mailing Address - Fax:615-248-6914
Practice Address - Street 1:1916 PATTERSON ST
Practice Address - Street 2:SUITE 310
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2120
Practice Address - Country:US
Practice Address - Phone:615-305-5712
Practice Address - Fax:615-248-6914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-22
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care