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Individual

MS. OLIVIA ROSS FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2900 LAMB CIR STE L-760, CHRISTIANSBURG, VA 24073-6344
(540) 510-6200
(540) 857-5306
Mailing address
2900 LAMB CIR STE L-760, CHRISTIANSBURG, VA 24073-6344
(540) 510-6200
(540) 857-5306

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110006034
VA

Other

Enumeration date
01/22/2018
Last updated
01/22/2018
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