Provider Demographics
NPI:1194720409
Name:FERGUSON, CATHERINE LOWRIE (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:LOWRIE
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BUTTERNUT DR
Mailing Address - Street 2:STE B
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-4653
Mailing Address - Country:US
Mailing Address - Phone:864-298-2826
Mailing Address - Fax:864-672-7764
Practice Address - Street 1:900 W FARIS RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4255
Practice Address - Country:US
Practice Address - Phone:864-679-3900
Practice Address - Fax:864-679-3901
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20756174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCT48927Medicaid
SCG36645Medicare UPIN
SC6526Medicare PIN