Individual
TIMOTHY AARON FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1019 RETREAT AVE, MONCKS CORNER, SC 29461-8255
(843) 830-5920
Mailing address
1019 RETREAT AVE, MONCKS CORNER, SC 29461-8255
(843) 830-5920
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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