Individual
JENNIFER FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 JOHNNIE DODDS BLVD STE 103-303, MOUNT PLEASANT, SC 29464-3135
(843) 789-9440
Mailing address
1000 JOHNNIE DODDS BLVD STE 103-303, MOUNT PLEASANT, SC 29464-3135
(843) 789-9440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101022319
MI
207R00000X
Internal Medicine Physician
Primary
82106
SC
Other
Enumeration date
07/25/2016
Last updated
09/01/2023
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