Individual
DR. JAMES DAVID FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 TAYLOR ST, STE 7B, COLUMBIA, SC 29201-2942
(803) 254-9461
(803) 254-9318
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
22985
OK
207V00000X
Obstetrics & Gynecology Physician
Primary
34096
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200024470A
—
OK
05
—
340964
—
SC
01
—
AA7941
MEDICARE
SC
Enumeration date
04/25/2006
Last updated
03/07/2014
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