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Individual

DR. LEE C FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1151 DAUPHIN ST, MOBILE, AL 36604-2547
(251) 445-0075
(251) 445-0072
Mailing address
1151 DAUPHIN ST, MOBILE, AL 36604-2547
(251) 445-0075
(251) 445-0072

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
23226
MS
2086S0129X
Vascular Surgery Physician
Primary
DO.1236
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
185176
AL
Enumeration date
06/05/2008
Last updated
02/12/2019
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