Individual
MICHAEL TYLER FERGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
951 N BROAD ST, TAZEWELL, TN 37879-4323
(865) 585-2697
Mailing address
1897 LEATHERWOOD HOLLOW RD, NEW TAZEWELL, TN 37825
(865) 585-2697
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41195
TN
Other
Enumeration date
07/10/2018
Last updated
10/02/2020
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