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NPI Code Detail

MEDICARE: BROOKE FEAGIN

MEDICARE: BROOKE FEAGIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-491182

General Provider Information

NPI Number : 1205790318
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE FEAGIN
Provider Business Mailing Address
First Line : PO BOX 931142
Second Line :
City : ATLANTA
State : GA
Zip : 31193-1142
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1345 COMPANION CT
Second Line :
City : SUMTER
State : SC
Zip : 29150-1749
Country : US
Telephone Number : 803-529-1366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ BROOKE FEAGIN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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