Individual
DR. EMILY TANCOUS FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4775 KNIGHTSBRIDGE BLVD, SUITE 207, COLUMBUS, OH 43214-4313
(614) 442-5557
(614) 442-1070
Mailing address
4775 KNIGHTSBRIDGE BLVD, SUITE 207, COLUMBUS, OH 43214-4313
(614) 442-5557
(614) 442-1070
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.094971
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2008
Last updated
05/24/2011
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