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1487430062
JONATHAN KEITH BRANTLEY FERGUSON
ATLANTA, GA
NPI
1487430062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: GA PSY004720)
Enumeration Date
2023-09-07
Last Update Date
2023-09-07
Business Address
Dr. JONATHAN KEITH BRANTLEY FERGUSON PhD
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329-4010
Phone number: 404-785-0716
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Mailing Address
Dr. JONATHAN KEITH BRANTLEY FERGUSON PhD
1920 BRIARCLIFF RD NE
ATLANTA, GA 30329-4010
Phone number:
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