National Provider Identifier Database

MARY M FELDMAN MD LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

MARY M FELDMAN MD LLC
100 PROFESSIONAL PL
STE 110
CARROLLTON, GA30117-3874
Phone: 770-834-0818
Fax: 770-834-5098
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for MARY M FELDMAN MD LLC

NPI Number 1699215541
Legal business name
LBN
MARY M FELDMAN MD LLC
Authorized official MARY FELDMAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/26/2017
Last updated 02/26/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 69043

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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