Individual
KATY ANN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
9520 FERGUSON AVE, SAVANNAH, GA 31406-6332
(717) 448-6254
Mailing address
C8427 ARDENESS ST, FORT BRAGG, NC 28310-0001
(717) 448-6254
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001701
GA
Other
Enumeration date
01/30/2015
Last updated
08/01/2022
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