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NPI Code Detail

MEDICARE: MARY LAFRANCE FERGUSON M.D.

MEDICARE: MARY LAFRANCE FERGUSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician13240SC

General Provider Information

NPI Number : 1801865092
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY LAFRANCE FERGUSON M.D.
Provider Business Mailing Address
First Line : PO BOX 1362
Second Line :
City : BEAUFORT
State : SC
Zip : 29901-1362
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 719 OKATIE HWY
Second Line :
City : OKATIE
State : SC
Zip : 29909-3963
Country : US
Telephone Number : 843-987-7400
Fax Number : 843-987-7484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 03/11/2020

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