Provider Demographics
NPI:1437595634
Name:FERGUSON, BRITNAY ALEXANDRA (PA-C, MMSC)
Entity Type:Individual
Prefix:MS
First Name:BRITNAY
Middle Name:ALEXANDRA
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:PA-C, MMSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 DELMAR AVE SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-3646
Mailing Address - Country:US
Mailing Address - Phone:404-990-0545
Mailing Address - Fax:
Practice Address - Street 1:80 JESSE HILL JR. DRIVE, SE
Practice Address - Street 2:PO BOX 26086
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-0001
Practice Address - Country:US
Practice Address - Phone:404-616-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6779207R00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine