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Individual

JEREMY THOMAS PONDS

Active
Find providers by NPI
Individual

JEREMY THOMAS PONDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
638
SC
133V00000X
Registered Dietitian
Primary
L006090
NC
133VN1004X
Pediatric Nutrition Registered Dietitian
638
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20B5K
BCBS NC
NC
05
—
DT1055
—
SC
Enumeration date
03/03/2011
Last updated
02/22/2024
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