Individual
DR. LEE MICHAEL FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 RIVERVIEW DR STE A, FLOWOOD, MS 39232-8908
(601) 981-1610
(601) 366-2887
Mailing address
102 RIVERVIEW DR STE A, FLOWOOD, MS 39232-8908
(601) 981-1610
(601) 366-2887
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
22578
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100180108
—
MS
01
—
22578
MISSISSIPPI MEDICAL LICENSE
MS
Enumeration date
07/02/2010
Last updated
06/16/2025
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