Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2017-01122 | NC |
Y | 111NI0900X | Internist | 2017-01122 | NC |
NPI | 1003173618 |
---|---|
Provider Name | Dr. Jacob Paul Feigal |
First Address | Durham, NC 27710-0001 |
Second Address | Durham, NC 27710-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2012 |
Last Update Date | 10/07/2017 |