Susan Rene Ferguson, PA-C

NPI #1659635829 in Santa Rosa Beach, Florida

Provider Information

NPI Number
1659635829
Entity Type
Individual
Name
Susan Rene Ferguson, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jul 2, 2012
Last Updated
Dec 15, 2020

Practice Location

Address
141 MACK BAYOU LOOP STE 101
State
Florida
ZIP Code
32459-7194
Phone
(850) 863-5990

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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