Individual
SUZETTE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 231-2437
Mailing address
3407 CAMAK DR, AUGUSTA, GA 30909-9433
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN088091
GA
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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