Provider Demographics
NPI:1770929424
Name:FERGUSON, CHERYL ARNOLD (LPN)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:ARNOLD
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29620-1843
Mailing Address - Country:US
Mailing Address - Phone:864-366-5916
Mailing Address - Fax:864-366-4939
Practice Address - Street 1:701 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:SC
Practice Address - Zip Code:29620-1843
Practice Address - Country:US
Practice Address - Phone:864-366-5916
Practice Address - Fax:864-366-4939
Is Sole Proprietor?:No
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10338 P164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse