Individual
DILLON REECE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
261 NORTH ST, BRISTOL, VA 24201-3275
(276) 821-8030
(423) 900-2435
Mailing address
261 NORTH ST, BRISTOL, VA 24201-3275
(276) 821-8030
(423) 900-2435
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
0001290126
VA
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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