# FERGUSON INTERNAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255035416
- **Authorized official:** DR. JENNIFER FERGUSON DO (OWNER)
- **Authorized official phone:** (248) 767-2216

## Contact information

- **Practice address:** 1000 JOHNNIE DODDS BLVD STE 103-303, MOUNT PLEASANT, SC 29464-3135
- **Practice address phone:** (843) 789-9440
- **Practice address fax:** (785) 414-5337
- **Mailing address:** 1000 JOHNNIE DODDS BLVD STE 103-303, MOUNT PLEASANT, SC 29464-3135
- **Mailing address phone:** (248) 767-2216
- **Mailing address fax:** (785) 414-5337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2023
- **Last updated:** 09/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1295186724 | NPI | MI |
| 01 | — | 1841743010 | NPI | MI |