Individual
JOHN MATTHEW FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2270 ASHLEY CROSSING DR STE 170, CHARLESTON, SC 29414-5749
(843) 763-3700
(843) 606-8018
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30784
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307849
—
SC
01
—
AA74542353
MEDICARE PTAN
SC
Enumeration date
06/23/2008
Last updated
03/11/2025
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