Individual
MELODY C FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1000 JOHNSON FY RD NE # ICU, ATLANTA, GA 30342-1611
(404) 851-8000
Mailing address
208 MOORE VALLEY WAY, CANTON, GA 30115-4366
(316) 519-9728
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN242175
GA
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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