Individual
DR. ELLEN M FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3163 TUCKER NORCROSS RD, TUCKER, GA 30084-2124
(770) 939-6000
(770) 491-9195
Mailing address
3163 TUCKER NORCROSS RD, TUCKER, GA 30084-2124
(770) 939-6000
(770) 491-9195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
050162
GA
Other
Enumeration date
05/02/2006
Last updated
09/08/2008
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