Ferguson, Amy Poteat
Ferguson, Amy Poteat is an individual health care provider with primary practice located at 656 Carpenter Ave , Mooresville NC 28115-2538. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ferguson, Amy Poteat can be contacted via phone (704) 664-5133.Contact Information
Primary practice address
656 Carpenter Ave
Mooresville NC 28115-2538
Phone: (704) 664-5133
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 31812 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 31812 | North Carolina |
Profile Details
| NPI number | 1154305134 |
|---|---|
| LBN Legal business name | Ferguson, Amy Poteat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Oct 25th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154305134 | NPPES |
| North Carolina | MEDICAID | 8931621 |
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