Basic Information
Provider Information
NPI: 1477505972
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FEINBERG
FirstName: WHITNEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5080 PEACHTREE BLVD
Address2: SUITE 100
City: CHAMBLEE
State: GA
PostalCode: 303412877
CountryCode: US
TelephoneNumber: 4047855437
FaxNumber: 4047858053
Practice Location
Address1: 5080 PEACHTREE BLVD
Address2: SUITE 100
City: CHAMBLEE
State: GA
PostalCode: 303412877
CountryCode: US
TelephoneNumber: 4047855437
FaxNumber: 4047858053
Other Information
ProviderEnumerationDate: 05/16/2006
LastUpdateDate: 06/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X42100GAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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