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Individual
DONALD FERGUSON JR.
Active
Individual
DONALD FERGUSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
ML7576
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3401356
LAB MEDICARE PIN
TN
Enumeration date
12/19/2007
Last updated
12/19/2007
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