Provider Demographics
NPI:1245442508
Name:FERGUSON, MEGAN ELIZABETH (MS)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ELIZABETH
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4265 BROWNSBORO RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3425
Mailing Address - Country:US
Mailing Address - Phone:336-896-7944
Mailing Address - Fax:336-896-7684
Practice Address - Street 1:4265 BROWNSBORO RD
Practice Address - Street 2:SUITE 115
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3425
Practice Address - Country:US
Practice Address - Phone:336-896-7944
Practice Address - Fax:336-896-7684
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS