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NPI Code Detail

MEDICARE: ANDREW FERGUSON MD

MEDICARE:   ANDREW  FERGUSON  MD
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
12084N0400XNeurology PhysicianMD-54425IA
22084N0400XNeurology Physician92751GA

General Provider Information

NPI Number : 1760989172
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW FERGUSON MD
Provider Business Mailing Address
First Line : 49 JESSE HILL JR DR SE
Second Line :
City : ATLANTA
State : GA
Zip : 30303-3049
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1364 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1059
Country : US
Telephone Number : 404-712-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2018
Last Update Date : 12/02/2025

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Directions to “ ANDREW FERGUSON MD” Practice Location

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