Ferguson, Javan

Ferguson, Javan is an individual health care provider with primary practice located at 550 Peachtree St Ne , Atlanta GA 30308-2208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Ferguson, Javan can be contacted via phone (404) 686-6730.

Contact Information

Primary practice address
550 Peachtree St Ne Atlanta GA 30308-2208
Phone: (404) 686-6730
Fax: (404) 686-4837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 54712 Georgia

Profile Details

NPI number 1174597314
LBN Legal business name Ferguson, Javan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 30th, 2015 - about 9 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 1174597314 NPPES
Florida Other 50267 BCBS
Florida Other 298203 BCBS
Florida MEDICAID 270734900 BCBS

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