| NPI | 1982831012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A. DREW FERGUSON Owner 706-643-3294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 11084) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |