Provider Demographics
NPI:1770315012
Name:FERGERSON, ARTHUR
Entity type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:
Last Name:FERGERSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7259 GLADSTONE CIR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-5508
Mailing Address - Country:US
Mailing Address - Phone:904-514-7194
Mailing Address - Fax:
Practice Address - Street 1:7259 GLADSTONE CIR
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-5508
Practice Address - Country:US
Practice Address - Phone:904-514-7194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)