Organization
HEADACHE & PAIN CENTER, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY NOLAN PONDER JR. MD (CEO)
(985) 580-1200
Entity
Organization
Contact information
Practice address
531A JEFFERSON TER, NEW IBERIA, LA 70560-4949
(337) 560-0880
(337) 560-0870
Mailing address
123 FRONTAGE ROAD A, GRAY, LA 70359-6301
(985) 580-1200
(985) 580-1218
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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