Provider Demographics
NPI:1902948433
Name:FEAGINS, SHINDANA L (MD)
Entity type:Individual
Prefix:
First Name:SHINDANA
Middle Name:L
Last Name:FEAGINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 W DUE WEST AVE STE 113
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-4428
Mailing Address - Country:US
Mailing Address - Phone:615-860-8183
Mailing Address - Fax:615-896-7490
Practice Address - Street 1:607 W DUE WEST AVE STE 113
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-4428
Practice Address - Country:US
Practice Address - Phone:615-860-8183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000039745207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine