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NPI Code Detail

MEDICARE: JENNIFER ANNE FELDMAN M.D.

MEDICARE: JENNIFER ANNE FELDMAN M.D.
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
1207RC0000XCardiovascular Disease Physician17690SC
2207RC0001XClinical Cardiac Electrophysiology Physician17690SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407855182
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ANNE FELDMAN M.D.
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8603
Fax Number : 803-296-7330
Provider Business Practice Location Address
First Line : 300 PALMETTO HEALTH PKWY STE 400
Second Line :
City : COLUMBIA
State : SC
Zip : 29212-1764
Country : US
Telephone Number : 803-434-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 03/31/2025

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