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1124104765
MITZI GAIL FERGUSON
JACKSON, MS
NPI
1124104765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: MS 09298)
Enumeration Date
2006-10-27
Last Update Date
2007-07-08
Business Address
-- MITZI GAIL FERGUSON M.D.
1991 LAKELAND DR STE C
JACKSON, MS 39216-5000
Phone number: 601-981-5887
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Mailing Address
-- MITZI GAIL FERGUSON M.D.
PO BOX 5569
PEARL, MS 39288-5569
Phone number: 601-981-5887
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