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Individual

DR. JAMES MICHAEL PONDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
102 FAIRVIEW DR, SUITE B, FRANKLIN, VA 23851
(757) 562-2158
(757) 562-2134
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101031113
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005606772
VI
01
010843
ANTHEM BC/BS #
VA
Enumeration date
02/07/2006
Last updated
02/05/2020
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