Individual
THOMAS FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3809 COVINGTON PIKE, MEMPHIS, TN 38135-2209
(901) 386-1625
(901) 377-8986
Mailing address
3809 COVINGTON PIKE, MEMPHIS, TN 38135-2209
(901) 386-1625
(901) 377-8986
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000029834
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110219636
RAILROAD MEDICARE
TN
05
—
3821473
—
TN
01
—
4002378
BLUE CROSS
TN
Enumeration date
09/22/2006
Last updated
09/04/2008
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