Provider Demographics
NPI:1336346691
Name:FEATHERS, ABIGAIL THERESE (MD)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:THERESE
Last Name:FEATHERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:THERESE
Other - Last Name:SHALTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:880 MEMORIAL DR LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-5101
Mailing Address - Country:US
Mailing Address - Phone:301-334-1177
Mailing Address - Fax:
Practice Address - Street 1:880 MEMORIAL DR LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-5101
Practice Address - Country:US
Practice Address - Phone:301-334-1177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE24796207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology