Provider Demographics
NPI:1801817408
Name:FEOLE, JOHN B (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:B
Last Name:FEOLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:321 WESTSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-8394
Mailing Address - Country:US
Mailing Address - Phone:919-537-8471
Mailing Address - Fax:919-537-8478
Practice Address - Street 1:321 WESTSIDE DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-8394
Practice Address - Country:US
Practice Address - Phone:919-537-8471
Practice Address - Fax:919-537-8478
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2001005332085R0202X, 2085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2154606OtherCIGNA
NCA7862OtherMEDCOST
NC89-129EAMedicaid
NC129EAOtherBCBS
NCA7862OtherMEDCOST
NCG03120Medicare UPIN