Provider Demographics
NPI:1821190729
Name:FERGUSON, WILLIAM J JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:FERGUSON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2325
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36202-2325
Mailing Address - Country:US
Mailing Address - Phone:256-237-8811
Mailing Address - Fax:256-237-8823
Practice Address - Street 1:901 LEIGHTON AVE
Practice Address - Street 2:STE 305
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207
Practice Address - Country:US
Practice Address - Phone:256-237-8811
Practice Address - Fax:256-237-8823
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL15223207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000086860Medicaid
D74186Medicare UPIN
AL000086860Medicaid