Individual
AUDREY CHASE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 WALMART WAY STE B, DAHLONEGA, GA 30533-0818
(706) 482-2268
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-8923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015935
GA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
08/06/2017
Last updated
01/19/2023
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