Provider Demographics
NPI:1295785855
Name:FERGUSON, CAROLINE LIGON (ATC, SCAT)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:LIGON
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:ATC, SCAT
Other - Prefix:MS
Other - First Name:CAROLINE
Other - Middle Name:LIGON
Other - Last Name:SPEARMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:1970 SAM GILLESPIE BLVD
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29154
Mailing Address - Country:US
Mailing Address - Phone:803-369-0442
Mailing Address - Fax:
Practice Address - Street 1:716 FIGHTING FALCON ST BLDG 1606
Practice Address - Street 2:
Practice Address - City:SHAWAFB
Practice Address - State:SC
Practice Address - Zip Code:29152
Practice Address - Country:US
Practice Address - Phone:803-895-1867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8172255A2300X
TNAT00000009252255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer