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Individual

DR. JOHN M FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1910 NONCONNAH BLVD, SUITE 120, MEMPHIS, TN 38132-2113
(901) 448-2300
(901) 448-6657
Mailing address
66 N PAULINE ST, SUITE 206, MEMPHIS, TN 38105-5105
(901) 448-7642
(901) 448-8015

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
9392
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00017197
MS
05
003179268A
GA
05
110793001
AR
05
1770541856
MI
05
1770541856
MO
05
179359
AL
05
3496341
TN
05
Q002132
TN
Enumeration date
05/01/2006
Last updated
10/08/2018
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