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FERGUSON, EDWARD RICHARD JR.       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: NORTH MISSISSIPPI MEDICAL CENTER
830 SOUTH GLOSTER STREET
4TH FLOOR, EAST TOWER
TUPELO MS 38801

Address last updated on 11/10/2018
Phone #: (256) 490-3846
Fax #:
County: NOT OKLAHOMA
License: 34378
Dated: 12/13/2018
Expires: 12/1/2019
Temp. Lic. Issued: 11/30/2018
Temp. Lic. Expires: 1/17/2019
License Type: Medical Doctor
Specialty: SURGERY, THORACIC
General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in New Orleans, New Orleans La 70112
Graduated: 5 / 1991
CME Year: 2021
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF THORACIC SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
NORTH MISSISSIPPI MEDICAL CENTER
830 SOUTH GLOSTER STREET
4TH FLOOR, EAST TOWER
TUPELO MS 38801

Phone #: (256) 490-3846
Fax #:

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