Individual
DAVID FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
102 N ROBINSON ST, SENATOBIA, MS 38668-2149
(662) 560-0602
(662) 560-0603
Mailing address
50 S MAIN ST, WATER VALLEY, MS 38965-2946
(662) 473-3400
(662) 473-4389
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0179
MS
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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