Individual
JAMES ALEXANDER FERGUSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10 BAUDER CT, SIMPSONVILLE, SC 29681-8320
(864) 921-2722
Mailing address
10 BAUDER CT, SIMPSONVILLE, SC 29681-8320
(864) 921-2722
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4159
SC
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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