Feagin, R Wyatt

Feagin, R Wyatt is an individual health care provider with primary practice located at 1009 Montgomery Hwy Suite 200, Birmingham AL 35216-2805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Feagin, R Wyatt can be contacted via phone (205) 397-9400.

Contact Information

Primary practice address
1009 Montgomery Hwy Suite 200 Birmingham AL 35216-2805
Phone: (205) 397-9400
Fax: (205) 397-9455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 00014092 Alabama

Profile Details

NPI number 1710986674
LBN Legal business name Feagin, R Wyatt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Feb 24th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710986674 NPPES
Alabama MEDICAID 000087072

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