Individual
TERRIONDRIAH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 13TH ST FL 3, GULFPORT, MS 39501-2515
(228) 575-7500
Mailing address
505 S HUTCHINSON AVE, HATTIESBURG, MS 39401-6214
(601) 754-8993
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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