Individual
MS. MARRINIQUE RAYDETTE FERGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 693-9349
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 693-9349
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
18942
SC
Other
Enumeration date
09/15/2014
Last updated
03/17/2020
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