Individual
MS. JOAN JANELLE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
85 BAGBY DR STE 302, HOMEWOOD, AL 35209-3735
(205) 602-9977
(205) 592-8835
Mailing address
4912 CLAIRMONT AVE S, BIRMINGHAM, AL 35222-4421
(205) 602-9977
(205) 592-8835
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2861
AL
Other
Enumeration date
11/24/2019
Last updated
11/24/2019
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