| Ferguson Internal Medicine Llc | |
|
1000 Johnnie Dodds Blvd Ste 103-303 Mount Pleasant SC 29464-3135 | |
| (843) 789-9440 | |
| (785) 414-5337 |
| Full Name | Ferguson Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 Johnnie Dodds Blvd Ste 103-303, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Jennifer Ferguson (OWNER) |
| Authorized Official Contact | 2487672216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ferguson Internal Medicine Llc 1000 Johnnie Dodds Blvd Ste 103-303 Mount Pleasant SC 29464-3135 Ph: (248) 767-2216 | Ferguson Internal Medicine Llc 1000 Johnnie Dodds Blvd Ste 103-303 Mount Pleasant SC 29464-3135 Ph: (843) 789-9440 |
| NPI Number | 1255035416 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 09/01/2023 |
| Medicare PECOS PAC ID | 4486010287 |
|---|---|
| Medicare Enrollment ID | O20230522001129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255035416 | NPI | - | NPPES |
| 1295186724 | Other | MI | NPI |
| 1841743010 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer M Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841743010 PECOS PAC ID: 5193019495 Enrollment ID: I20190618000945 |
| Provider Name | Christopher D Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295186724 PECOS PAC ID: 8123312535 Enrollment ID: I20190813003786 |
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