Individual
BRENT STUART FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1615 STATE HIGHWAY 17 STE 9, YOUNG HARRIS, GA 30582-1880
(706) 896-2771
(706) 896-2772
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4150
GA
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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