Doctor Name: | MRS. TINA NICOLE FELDMAN |
NPI Number: | 1073756011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN130165 |
Business Practice Address: | 196 Scoggins Dr Demorest, GA - 305355354 |
Business Phone Number: | 7068943700 |
Business Fax Number: | 7068943714 |
Mailing Address: | 4331 Thurmon Tanner Rd, FLOWERY BRANCH |
State: | GA |
Postal Code: | 305422829 |
Phone Number: | 6785135700 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2009 |
NPI Last Update Date: | 04/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | RN130165 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |