Provider Demographics
NPI:1174750988
Name:FERGUSON, FRANCES ELAINE (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:ELAINE
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:204 N WESTOVER BLVD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-2983
Mailing Address - Country:US
Mailing Address - Phone:229-889-6559
Mailing Address - Fax:229-436-4107
Practice Address - Street 1:327-3 SUNSET AVENUE SW
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:GA
Practice Address - Zip Code:39870
Practice Address - Country:US
Practice Address - Phone:229-734-5250
Practice Address - Fax:229-734-5606
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA35625207R00000X
NC9600292207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine