Healthcare Provider Details

I. General information

NPI: 1508945114
Provider Name (Legal Business Name): SANDRA L FELDMAN M.D., MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 N PATTERSON ST
VALDOSTA GA
31601-5526
US

IV. Provider business mailing address

825 VALERIE PL
VALDOSTA GA
31605-6427
US

V. Phone/Fax

Practice location:
  • Phone: 229-333-5290
  • Fax: 229-333-7822
Mailing address:
  • Phone: 229-247-1446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number013741
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number013741
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: