Ferguson, Charlie

Ferguson, Charlie is an individual health care provider with primary practice located at 2908 Mall Dr , Florence AL 35630-1534. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ferguson, Charlie can be contacted via phone (256) 767-2702.

Contact Information

Primary practice address
2908 Mall Dr Florence AL 35630-1534
Phone: (256) 767-2702
Fax: (256) 760-1870
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11278 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11278 Alabama

Profile Details

NPI number 1962488429
LBN Legal business name Ferguson, Charlie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Feb 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962488429 NPPES
Other 930023562 RAILROAD MCR
MEDICAID 3823836 RAILROAD MCR
Other 51014730 RAILROAD MCR
Other 11278 RAILROAD MCR
Other 51083625 RAILROAD MCR
Other E368 RAILROAD MCR

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