MEDICARE: SHINDANA L. FEAGINS 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
1	207R00000X	Internal Medicine Physician	MD0000039745	TN

General Provider Information

NPI Number	:	1902948433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHINDANA L. FEAGINS M.D.

Provider Business Mailing Address
First Line	:	607 W DUE WEST AVE STE 113
Second Line	:
City	:	MADISON
State	:	TN
Zip	:	37115-4428
Country	:	US
Telephone Number	:	615-860-8183
Fax Number	:	615-896-7490

Provider Business Practice Location Address
First Line	:	607 W DUE WEST AVE STE 113
Second Line	:
City	:	MADISON
State	:	TN
Zip	:	37115-4428
Country	:	US
Telephone Number	:	615-860-8183
Fax Number	:

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	11/12/2024

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