Provider Demographics
NPI:1104939008
Name:DRS. FEAGIN, GEE AND DAHL, P.C.
Entity type:Organization
Organization Name:DRS. FEAGIN, GEE AND DAHL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLEDSOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-397-9406
Mailing Address - Street 1:1009 MONTGOMERY HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2831
Mailing Address - Country:US
Mailing Address - Phone:205-397-9400
Mailing Address - Fax:205-397-9455
Practice Address - Street 1:1009 MONTGOMERY HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-2831
Practice Address - Country:US
Practice Address - Phone:205-397-9400
Practice Address - Fax:205-397-9455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529102180Medicaid
AL000038441Medicaid
AL000003580Medicaid
AL000004239Medicaid
AL000087072Medicaid
AL87072Medicare ID - Type UnspecifiedDR. R. WYATT FEAGIN, II
AL000038441Medicaid
AL000003580Medicaid
AL000087072Medicaid
ALE81783Medicare UPIN
AL03580Medicare ID - Type UnspecifiedDR. ELMAR LAWACZECK
AL000004239Medicaid
AL38441Medicare ID - Type UnspecifiedDR. BRITTON B. CARTER