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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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