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Individual

MRS. CARLA JOHNSON-FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CASE MANAGER

Contact information

Practice address
3374 PEACH ORCHARD RD, AUGUSTA, GA 30906-4875
(706) 951-2908
Mailing address
1545 NORRIS LANDING DR, SNELLVILLE, GA 30039-5709
(706) 951-2908

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
92542
SC
163WC0400X
Case Management Registered Nurse
Primary
RN197795
GA

Other

Enumeration date
10/21/2022
Last updated
10/21/2022
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