Individual provider · Type 1 NPI
Wilson Ferguson Iii, MS
Driver · Thibodaux, LA
NPI number
1699459594
Active
Practice location
1418 Tiger Dr
Thibodaux, LA 70301-4337
Fax (985) 449-4178
Other practice locations
- 292 Eves St, Jeanerette, LA 70544-8501 · (337) 428-2312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Driver Primary | 172A00000X | 009497183 (LA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1699459594
Wilson Ferguson Iii, MS's National Provider Identifier is 1699459594, issued on Jun 12, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Thibodaux, LA. The record was last updated on Aug 3, 2023.