National Provider Identifier Database

FAMILY TREE OB GYN PA
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

FAMILY TREE OB GYN, PA
520 MAPLE AVE
SUITE C
REIDSVILLE, NC27320-4652
Phone: 336-342-6063
Fax: 336-342-7847
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Adult Health 363LA2200X
Advanced Practice Midwife 367A00000X
Gerontology 363LG0600X
Obstetrics & Gynecology 207V00000X

* Indicates primary specialty

NPI Profile & details for FAMILY TREE OB GYN, PA

NPI Number 1730276890
Legal business name
LBN
FAMILY TREE OB GYN, PA
Authorized official JOHN FERGUSON - (MD OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/09/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 26070
  • NC Medicaid: 89012KH
  • NC Other: 012KH BCBS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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