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Individual
DR. CLAY WALT FERGUSON
Active
Individual
DR. CLAY WALT FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C8428
AR
207Q00000X
Family Medicine Physician
MD0000031428
TN
207Q00000X
Family Medicine Physician
U3840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080158965
RAILROAD MEDICARE
AR
05
—
134714001
—
AR
01
—
2110031500
QUAL CHOICE
AR
01
—
5K772
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/14/2005
Last updated
01/13/2026
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