Individual
DR. DAVID JAMES FERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
422 HARSTVEDT RD, SANTA ROSA BEACH, FL 32459-5234
(850) 343-4332
Mailing address
901 E 18TH ST, TIFTON, GA 31794
(229) 353-6208
(229) 353-7722
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
054877
GA
207P00000X
Emergency Medicine Physician
Primary
ME106534
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054877
LICENSE NUMBER
GA
05
—
291557642A
—
GA
Enumeration date
09/28/2006
Last updated
07/30/2024
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