Individual
MR. RANDOLPH C FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PEDORTHIST
Contact information
Practice address
443 DANIELS ST, RALEIGH, NC 27605-1359
(919) 833-4848
(919) 833-4648
Mailing address
1411 SACHEM PL UNIT 3, CHARLOTTESVILLE, VA 22901-2556
(434) 975-5434
(434) 975-0081
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPED1572
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS AND PEDORTHICS, INC
NC
Enumeration date
07/01/2008
Last updated
07/01/2008
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