Individual
GUY DAVID FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
365 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804-5820
(865) 980-5364
(865) 980-5356
Mailing address
103 W BROADWAY AVE, MARYVILLE, TN 37801-4703
(865) 273-1752
(865) 273-1755
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3658
TN
Other
Enumeration date
08/14/2018
Last updated
01/23/2023
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