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Individual

AMANDA C FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Mailing address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024179293
VA
367500000X
Certified Registered Nurse Anesthetist
085558
NC
367500000X
Certified Registered Nurse Anesthetist
2216
NC

Other

Enumeration date
08/11/2010
Last updated
10/08/2021
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