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Individual
DR. JAVAN FERGUSON
Active
Individual
DR. JAVAN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
54712
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270734900
—
FL
01
—
298203
AVMED
FL
01
—
50267
BCBS
FL
Enumeration date
02/15/2006
Last updated
09/30/2015
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