Individual
DR. BAILEY JOE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 3RD AVE SE, MAGEE, MS 39111-3665
(601) 849-7312
Mailing address
104 HICKORY HILLS DR, CLINTON, MS 39056-9795
(601) 924-9294
(601) 924-7551
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11821
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119322
—
MS
Enumeration date
10/20/2006
Last updated
11/03/2010
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