Provider Demographics
NPI:1598384703
Name:FERGUSON, JAMES CORBIN (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CORBIN
Last Name:FERGUSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:835 S THREE NOTCH ST
Mailing Address - Street 2:
Mailing Address - City:ANDALUSIA
Mailing Address - State:AL
Mailing Address - Zip Code:36420-5321
Mailing Address - Country:US
Mailing Address - Phone:334-222-8421
Mailing Address - Fax:334-222-1248
Practice Address - Street 1:835 S THREE NOTCH ST
Practice Address - Street 2:
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420-5321
Practice Address - Country:US
Practice Address - Phone:334-222-8421
Practice Address - Fax:334-222-1248
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-09
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALDO.3243207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine