Individual provider · Type 1 NPI

Daliah Ferguson

Student in an Organized Health Care Education/Training Program · Stockbridge, GA

NPI number 1104736156 Active

Practice location

123 Eagles Landing Pkwy
Stockbridge, GA 30281-5092

Call (203) 218-6187 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104736156

Daliah Ferguson's National Provider Identifier is 1104736156, issued on Sep 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockbridge, GA. The record was last updated on Sep 10, 2026.