Individual
MORGAN LANE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
860 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-3000
Mailing address
1440 N LOCUST GROVE RD UNIT 27D, MERIDIAN, ID 83642-7674
(530) 410-9859
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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