Individual
MAURICE A FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
561 ROSINGS DR, SUMMERVILLE, SC 29486-7774
(843) 814-8371
Mailing address
561 ROSINGS DR, SUMMERVILLE, SC 29486-7774
(843) 814-8371
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12041
SC
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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