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1164143558
ALISA BETH FERGUSON
ATHENS, GA
NPI
1164143558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-09-06
Last Update Date
2024-07-16
Business Address
ALISA BETH FERGUSON PA-C
220 HAWTHORNE PARK
ATHENS, GA 30606-2148
Phone number: 706-548-0500
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Mailing Address
ALISA BETH FERGUSON PA-C
3320 OLD JEFFERSON RD BLDG 700
ATHENS, GA 30607-1465
Phone number: 706-353-2990
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