Individual
DR. JAVAN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2208
(404) 686-6730
(404) 686-4837
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2208
(404) 686-6730
(404) 686-4837
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
54712
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270734900
—
FL
01
—
298203
AVMED
FL
01
—
50267
BCBS
FL
Enumeration date
02/15/2006
Last updated
09/30/2015
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