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Individual

JENNIFER PONDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1305 JENNINGS MILL RD STE 170, WATKINSVILLE, GA 30677-0037
(706) 552-1920
Mailing address
1199 PRINCE AVE, ATHENS, GA 30606-2797

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001971
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000688168B
GA
Enumeration date
01/02/2007
Last updated
02/19/2020
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