Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILSON FERGUSON III, MS
ActiveWILSON FERGUSON III, MS is a Driver healthcare provider located in THIBODAUX, Louisiana. NPI 1699459594 is currently active in the NPPES registry. Verify at CMS.
Driver · THIBODAUX, LA
Registration Details
- NPI Number
- 1699459594
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2023 (3.1457780542067 yrs)
- Last Updated
- Aug 3, 2023
- License
-
009497183 (LA)
Practice Information
- Address
-
1418 TIGER DRTHIBODAUX, LA, 703014337Browse LA providers · Browse ZIP 70301
- Phone
- 9854494055
- Fax
- 9854494178
- Primary Specialty
-
Driver
172A00000X
- Additional Specialty
- Driver
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.