Provider Demographics
NPI:1265536569
Name:FEELY, EMILY DOLBARE (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:DOLBARE
Last Name:FEELY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:LARAE
Other - Last Name:DOLBARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7399 RIDGECREST COURT RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35242-0519
Mailing Address - Country:US
Mailing Address - Phone:205-226-5900
Mailing Address - Fax:205-226-5937
Practice Address - Street 1:2700 RODGERS DRIVE
Practice Address - Street 2:SUITE 102
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209
Practice Address - Country:US
Practice Address - Phone:205-226-5900
Practice Address - Fax:205-226-5937
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060831207R00000X, 207RN0300X
NC200500033207RN0300X
AL34451207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00649788OtherRAILROAD MEDICARE
GAN4608698OtherWELLCARE
GA52238975 001OtherBCBS - GA
GA1225667OtherAMERIGROUP
GAP00649788OtherMEDICARE - RAILROAD
GAP00649788OtherMEDICARE - RAILROAD
GA511I390022Medicare PIN