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Donald Ferguson JR., PHD
Clinical Laboratory Director (Non-physician) in Johnson City, Tennessee
NPI 1831373414

Donald Ferguson JR. is a Clinical Laboratory Director (Non-physician) based in Mountain Home, TN and is specialized in Clinical Laboratory Director, Non-physician. Donald Ferguson JR. practices in Johnson City, TN and has the professional credentials of PHD. The NPI Number for Donald Ferguson JR. is 1831373414 and holds a License No. ML7576 (Tennessee).

The current practice location address for Donald Ferguson JR. is 325 N State Of Franklin Rd, Johnson City, TN and can be reached out via phone at 423-439-6242. You can also correspond with Donald Ferguson JR. through the mailing address at PO BOX 699, MOUNTAIN HOME, TN - 37684-0699 (mailing address contact number: 423-433-6039).

Location: 325 N State Of Franklin Rd, Johnson City, TN, 37684-0699
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831373414
Provider Name
Donald Ferguson JR.
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
325 N State Of Franklin Rd, Johnson City, TN, 37684-0699
Phone Number
423-439-6242
Fax Number
Provider Enumeration Date
12/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3401356 01 TN LAB MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
325 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6062
Phone Number
423-439-6242
Fax Number
person
Provider Business Mailing Address Details
Address
325 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6062
Phone Number
423-439-6242
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
ML7576 (Tennessee)
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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