MEDICARE: DR. CAROLINE FEIST MD, MPH

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
1	207Q00000X	Family Medicine Physician	11925	AL
2	208600000X	Surgery Physician	11925	AL
3	2083X0100X	Occupational Medicine Physician	11925	AL

General Provider Information

NPI Number	:	1548311020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLINE FEIST MD, MPH

Provider Business Mailing Address
First Line	:	3140 RYECROFT RD
Second Line	:
City	:	MOUNTAIN BRK
State	:	AL
Zip	:	35223-2716
Country	:	US
Telephone Number	:	205-967-9867
Fax Number	:

Provider Business Practice Location Address
First Line	:	3140 RYECROFT RD
Second Line	:
City	:	MOUNTAIN BRK
State	:	AL
Zip	:	35223-2716
Country	:	US
Telephone Number	:	205-967-9867
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2007
Last Update Date	:	12/27/2020

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