Individual
MR. GREGORY ALLAN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1530 BATTERY HILL DR, HENRICO, VA 23231-8140
(804) 517-2124
Mailing address
1530 BATTERY HILL DR, HENRICO, VA 23231-8140
(804) 517-2124
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0735001008
VA
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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