Organization
FERGUSON INTERNAL MEDICINE LLC
Active
Organization
FERGUSON INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER FERGUSON DO (OWNER)
(248) 767-2216
Entity
Organization
Contact information
Practice address
1000 JOHNNIE DODDS BLVD STE 103-303, MOUNT PLEASANT, SC 29464-3135
(843) 789-9440
(785) 414-5337
Mailing address
1000 JOHNNIE DODDS BLVD STE 103-303, MOUNT PLEASANT, SC 29464-3135
(248) 767-2216
(785) 414-5337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295186724
NPI
MI
01
—
1841743010
NPI
MI
Enumeration date
03/29/2023
Last updated
09/01/2023
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