Most Relevant Information
Provider Data
| NPI Number: | 1003422106 |
| Provider Name: | HOLLY FERGUSON |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/23/2020 |
| Last Updated: | 09/23/2020 |
Provider Practice Location
47 MORRIS LN
BELINGTON
WV
262501402
Practice Location Phone/Fax
| Phone: | 3046369326 |
| Fax: |
Provider Mailing Location
501 WILSON LN
ELKINS
WV
262415216
Provider Mailing Phone/Fax
| Phone: | 3046369326 |
| Fax: |