Provider Demographics
NPI:1144460544
Name:FERGUSON, JAMES LEE JR (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LEE
Last Name:FERGUSON
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:100 HIGHPOINT DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3926
Mailing Address - Country:US
Mailing Address - Phone:800-732-3784
Mailing Address - Fax:
Practice Address - Street 1:100 HIGHPOINT DR
Practice Address - Street 2:SUITE 102
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3926
Practice Address - Country:US
Practice Address - Phone:800-732-3784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0048258207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine