Provider Demographics
NPI:1689837932
Name:FEERICK, JOHN DAVID JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DAVID
Last Name:FEERICK
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 751069
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1069
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2150 HERBERT CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-3736
Practice Address - Country:US
Practice Address - Phone:252-744-4963
Practice Address - Fax:252-744-2791
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2024-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ460532080P0206X
NY24196212080P0206X
CT0467672080P0206X
NC2016-016122080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology