Individual
STEPHEN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
137 PROFESSIONAL PARK DR, SUITE A, MOORESVILLE, NC 28117-6540
(704) 660-2634
Mailing address
137 PROFESSIONAL PARK DR, SUITE A, MOORESVILLE, NC 28117-6540
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31505
NC
Other
Enumeration date
08/19/2005
Last updated
09/09/2020
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