Individual
GARY M MCFERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO, CPED
Contact information
Practice address
12 OFFICE PARK DR, JACKSONVILLE, NC 28546-7325
(103) 539-0029
(910) 353-9003
Mailing address
12 OFFICE PARK DR, JACKSONVILLE, NC 28546-7325
(910) 353-9002
(910) 353-9003
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO003055
NC
224L00000X
Pedorthist
CPED0755
—
225000000X
Orthotic Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047H3
BCBS
NC
Enumeration date
02/22/2007
Last updated
04/05/2022
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