Individual
CANDISE R FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
395 W 12TH AVE RM 414, COLUMBUS, OH 43210-1267
(614) 366-0768
Mailing address
395 W 12TH AVE RM 414, COLUMBUS, OH 43210-1267
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2021
Last updated
03/13/2024
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