Individual
JODILYN ALLRED FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 MEDICAL PLZ, EUPORA, MS 39744-4019
(662) 258-4701
Mailing address
575 SEHON CIR, PONTOTOC, MS 38863-7320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
903566
MS
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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