Provider Demographics
NPI:1831654649
Name:FELDMAN, JAMES HENRY (PA-C)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:HENRY
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 N MADISON BLVD
Mailing Address - Street 2:
Mailing Address - City:ROXBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27573-0040
Mailing Address - Country:US
Mailing Address - Phone:336-592-2203
Mailing Address - Fax:
Practice Address - Street 1:910 N MADISON BLVD
Practice Address - Street 2:
Practice Address - City:ROXBORO
Practice Address - State:NC
Practice Address - Zip Code:27573-0040
Practice Address - Country:US
Practice Address - Phone:336-592-2230
Practice Address - Fax:336-322-0996
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-08849363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant