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Individual

MRS. MANDY MILLER FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
393 3RD AVE SW, TAYLORSVILLE, NC 28681-4180
(704) 871-2163
(980) 829-0484
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
(704) 978-3549

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005496
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022NU
BCBSNC
01
176P7
BCBS
NC
05
7006068
NC
05
8919642
NC
01
P01157969
RAILROAD MEDICARE
NC
Enumeration date
02/05/2012
Last updated
06/17/2025
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