Individual
ASHLEY NOELLE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
105 W STONE DR, STE 4B, KINGSPORT, TN 37660-3365
(423) 578-1540
(423) 392-6251
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2042
TN
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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