Healthcare Provider Details

I. General information

NPI: 1477505972
Provider Name (Legal Business Name): WHITNEY FEINBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 06/06/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5080 PEACHTREE BLVD SUITE 100
CHAMBLEE GA
30341-2877
US

IV. Provider business mailing address

5080 PEACHTREE BLVD SUITE 100
CHAMBLEE GA
30341-2877
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-5437
  • Fax: 404-785-8053
Mailing address:
  • Phone: 404-785-5437
  • Fax: 404-785-8053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number42100
License Number StateGA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: