Ferguson, Mitzi Gail
Ferguson, Mitzi Gail is an individual health care provider with primary practice located at 1991 Lakeland Dr Ste C , Jackson MS 39216-5000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Ferguson, Mitzi Gail can be contacted via phone (601) 981-5887.Contact Information
Primary practice address
1991 Lakeland Dr Ste C
Jackson MS 39216-5000
Phone: (601) 981-5887
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 09298 | Mississippi |
Profile Details
| NPI number | 1124104765 |
|---|---|
| LBN Legal business name | Ferguson, Mitzi Gail |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124104765 | NPPES |
| Mississippi | MEDICAID | 00122986 |
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