Dr DIANE FERGUSON is a female medical professional, specializing in Family Medicine. She graduated in from University Of Mississippi School Of Medicine.
SANDK MEDICAL, LLC
2085 GOODMAN RD W
SUPERIOR HEALTH AND WELLNESS
HORN LAKE
MS
386371416
Tel: 6622538459
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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