Individual
JESSE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
665 GAINES SCHOOL RD, ATHENS, GA 30605-3127
(706) 369-8115
(706) 369-8116
Mailing address
665 GAINES SCHOOL RD, ATHENS, GA 30605-3127
(706) 369-8115
(706) 369-8116
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT016116
GA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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