Ferguson, Dawn Camille

Ferguson, Dawn Camille is an sole proprietor health care provider with primary practice located at 1170 Cleveland Ave , East Point GA 30344-3615. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Ferguson, Dawn Camille can be contacted via phone (404) 466-8405.

Contact Information

Primary practice address
1170 Cleveland Ave East Point GA 30344-3615
Phone: (404) 466-8405
Fax: (404) 466-8431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 035179 Georgia

Profile Details

NPI number 1861560021
LBN Legal business name Ferguson, Dawn Camille
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861560021 NPPES
Georgia MEDICAID 000616932E

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