Individual
MR. HORACE EARL FERGUSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
4535 DICK POND ROAD, A, MYRTLE BEACH, SC 29588
(843) 655-2299
Mailing address
4535 DICK POND ROAD, A, MYRTLE BEACH, SC 29588
(843) 655-2299
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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