Individual
ANSLEY HEAD FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4220 GAUNTT RD, COVINGTON, GA 30014-0600
(762) 499-2925
Mailing address
1142 OAK ST SE, COVINGTON, GA 30014-2815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013965
GA
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/28/2019
Last updated
09/08/2021
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