Individual
JANELLE PHYNOTOLEE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 COLISEUM DR, MACON, GA 31217-0104
(478) 803-7300
(478) 803-7417
Mailing address
535 COLISEUM DR, MACON, GA 31217-0104
(478) 803-7300
(478) 803-7417
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN284748
GA
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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