Individual provider · Type 1 NPI
Susan Rene Ferguson, PA-C
Medical Physician Assistant · Santa Rosa Beach, FL
NPI number
1659635829
Active
Practice location
141 Mack Bayou Loop Ste 101
Santa Rosa Beach, FL 32459-7194
Fax (850) 862-0041
Mailing address
417A Racetrack Rd NW Ste 2
Fort Walton Beach, FL 32547-4604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 9106360 (FL) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in Santa Rosa Beach
About NPI 1659635829
Susan Rene Ferguson, PA-C's National Provider Identifier is 1659635829, issued on Jul 2, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Rosa Beach, FL. The record was last updated on Dec 15, 2020.