Individual
PAUL B FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DRIVE, SUITE B500, HUNTINGTON, WV 25701
(304) 691-1787
(304) 691-8711
Mailing address
1600 MEDICAL CENTER DRIVE, SUITE B500, HUNTINGTON, WV 25701
(304) 691-1787
(304) 691-8711
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
24102
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810020154
—
WV
01
—
WV0022A
MEDICARE PTAN
WV
Enumeration date
07/13/2007
Last updated
11/26/2021
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