Individual
JOHN D. FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UVA PRIMARY CARE CTR, LEE STREET, GROUND FLOOR, CHARLOTTESVILLE, VA 22908-0001
(434) 924-5004
(434) 982-3776
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0109542027
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101247421
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005876940
—
VA
Enumeration date
02/13/2007
Last updated
09/12/2011
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