Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SALLY JO FERGUSON-AVERY, MD
Active Sole ProprietorInternal Medicine · SHAMOKIN DAM, PA
Registration Details
- NPI Number
- 1508805615
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2006 (19.91848079145 yrs)
- Last Updated
- Apr 15, 2022
- Licenses
-
MD423495 (PA)MD423495 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3057 N SUSQUEHANNA TRLSHAMOKIN DAM, PA, 178769114Browse PA providers · Browse ZIP 17876
- Phone
- 5707431112
- Fax
- 5707431114
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in SHAMOKIN DAM, PA
| Name | Credential | NPI |
|---|---|---|
| MOHAMMAD ABDUL SAMAD | MD | 1962516997 |
| BLAKE R. GARMON | M.D. | 1043534530 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.