Organization
WILLIAM J. FERGSON, JR., MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J FERGUSON JR. M.D. (BOSS)
(256) 237-8811
Entity
Organization
Contact information
Practice address
901 LEIGHTON AVE, SUITE 305, ANNISTON, AL 36207-5700
(256) 237-8811
(256) 237-8823
Mailing address
901 LEIGHTON AVE, SUITE 305, ANNISTON, AL 36207-5700
(256) 237-8811
(256) 237-8823
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15223
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000086860
—
AL
01
—
1821190729
NPI
AL
01
—
J274
MEDICARE GROUP NUMBER
AL
Enumeration date
06/19/2007
Last updated
06/25/2008
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