Individual
KWAMAINE JAMEL FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 KINGSBERRY CIR, ROEBUCK, SC 29376-2617
(864) 559-7006
Mailing address
119 KINGSBERRY CIR, ROEBUCK, SC 29376-2617
(864) 559-7006
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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