Individual
MARY KATE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10724 LITTLE PATUXENT PKWY, SUITE 200, COLUMBIA, MD 21044-3106
(410) 997-5944
(410) 997-1720
Mailing address
12158 MOUNT ALBERT RD, ELLICOTT CITY, MD 21042-1335
(410) 997-5944
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001577
MD
Other
Enumeration date
02/17/2006
Last updated
03/05/2009
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