Individual
DR. WILFRED PRESTON FERGUSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 LEGION DR, SUITE A, EASTMAN, GA 31023-6780
(478) 374-1801
(478) 448-4586
Mailing address
725 LEGION DR, SUITE A, EASTMAN, GA 31023-6780
(478) 374-1801
(478) 448-4586
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
69404
GA
Other
Enumeration date
04/15/2013
Last updated
08/29/2013
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