Individual
DENA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1811 EDWINA DR, VIDALIA, GA 30474-8963
(912) 538-9977
(912) 538-0770
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3583
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.141515
GA
208M00000X
Hospitalist Physician
35.141515
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2016
Last updated
01/29/2026
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