Organization
RUTHERFORD EAR NOSE & THROAT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRIC W FERGUSON M.D. (OWNER)
(828) 286-0632
Entity
Organization
Contact information
Practice address
175 TRYON RD, SUITE A, RUTHERFORDTON, NC 28139-3036
(828) 286-0632
(828) 286-5644
Mailing address
175 TRYON RD, SUITE A, RUTHERFORDTON, NC 28139-3036
(828) 286-0632
(828) 286-5644
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35330
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639269665
NPI
—
05
—
890221R
—
NC
Enumeration date
11/15/2006
Last updated
02/01/2008
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