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Individual

DR. TERRY BRENT PONDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 695-4977
(615) 263-3348
Mailing address
5301 VIRGINIA WAY, SUITE 300, BRENTWOOD, TN 37027-7541
(615) 695-4977
(615) 263-3348

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
36726
MO
207ZP0101X
Anatomic Pathology Physician
35085815
OH
207ZP0101X
Anatomic Pathology Physician
Primary
36726
MO
207ZP0101X
Anatomic Pathology Physician
4301090981
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2549095
OH
05
4715743
MI
Enumeration date
03/20/2006
Last updated
04/06/2016
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