Individual
KEISHA DAMORLEY FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1114 ELM STREET NORTHEAST, SUITE H, COVINGTON, GA 30014
(404) 453-6561
Mailing address
35 TERRELL LN, COVINGTON, GA 30014-6904
(678) 698-7387
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2025087781
GA
Other
Enumeration date
12/24/2025
Last updated
12/24/2025
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