Individual
KAREN M FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
320 KENNESTONE HOSPITAL BLVD, SUITE LL1, MARIETTA, GA 30060
(770) 793-7500
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6663
GA
363A00000X
Physician Assistant
903
SC
Other
Enumeration date
02/21/2007
Last updated
11/06/2019
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