Provider Demographics
NPI:1457862252
Name:FEGGINS, MORRIS
Entity Type:Individual
Prefix:
First Name:MORRIS
Middle Name:
Last Name:FEGGINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 CLIFTON ST NW APT 207W
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-7004
Mailing Address - Country:US
Mailing Address - Phone:202-591-7076
Mailing Address - Fax:
Practice Address - Street 1:1350 CLIFTON ST NW APT 207W
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-7004
Practice Address - Country:US
Practice Address - Phone:202-591-7076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-19
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant