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1275261752
JESSE FERGUSON
ATHENS, GA
NPI
1275261752
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: GA PT016116)
Enumeration Date
2022-08-11
Last Update Date
2022-08-11
Business Address
JESSE FERGUSON DPT
665 GAINES SCHOOL RD
ATHENS, GA 30605-3127
Phone number: 706-369-8115
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Mailing Address
JESSE FERGUSON DPT
665 GAINES SCHOOL RD
ATHENS, GA 30605-3127
Phone number: 706-369-8115
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