DIANE FERGUSON

SANDK MEDICAL, LLC

Dr DIANE FERGUSON is a female medical professional, specializing in Family Medicine. She graduated in from University Of Mississippi School Of Medicine.

Contact

SANDK MEDICAL, LLC

2085 GOODMAN RD W
SUPERIOR HEALTH AND WELLNESS
HORN LAKE
MS
386371416

Tel: 6622538459

DIANE FERGUSON Information

Npi 1265525331
Pac Id 1850469867
Professional Enrollment Id I20081003000687
Last Name FERGUSON
First Name DIANE
Middle Name
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SANDK MEDICAL, LLC
Group Practice Pac Id 0446578660
Number Of Group Practice Members 2
Line 1 Street Address 2085 GOODMAN RD W
Line 2 Street Address SUPERIOR HEALTH AND WELLNESS
Marker Of Address Line 2 Suppression
City HORN LAKE
State MS
Zip Code 386371416
Phone Number 6622538459
Hospital Affiliation Ccn 1 250001
Hospital Affiliation Lbn 1 UNIVERSITY OF MISSISSIPPI MED CENTER
Hospital Affiliation Ccn 2 250141
Hospital Affiliation Lbn 2 BAPTIST MEMORIAL HOSPITAL DESOTO
Hospital Affiliation Ccn 3 250167
Hospital Affiliation Lbn 3 METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL
Hospital Affiliation Ccn 4 250004
Hospital Affiliation Lbn 4 NORTH MISSISSIPPI MEDICAL CENTER
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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