Individual
MR. MARTIS DERON FERGUSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5721 USA N DR, MOBILE, AL 36688-0001
(251) 445-9400
Mailing address
5721 USA N DR, MOBILE, AL 36688-0001
(251) 445-9400
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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