SUSAN RENE FERGUSON

SANTA ROSA BEACH, FL
NPI1659635829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  9106360)
Enumeration Date2012-07-02
Last Update Date2020-12-15
Business Address
SUSAN RENE FERGUSON PA-C
141 MACK BAYOU LOOP STE 101
SANTA ROSA BEACH, FL 32459-7194
Phone number: 850-863-5990
Mailing Address
SUSAN RENE FERGUSON PA-C
417A RACETRACK RD NW STE 2
FORT WALTON BEACH, FL 32547-4604
Phone number: 850-863-5990
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