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Individual

ROBERT ANTHONY FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7475
(423) 230-5000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
062734
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2017-01260
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
6320
TN

Other

Enumeration date
03/28/2012
Last updated
12/05/2025
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