Individual
JOSEPH R FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Contact information
Practice address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834
(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
367H00000X
Anesthesiologist Assistant
Primary
AA453
FL
367H00000X
Anesthesiologist Assistant
AA51
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100044700
—
FL
Enumeration date
11/13/2009
Last updated
10/17/2019
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