Organization
JEROME V PONDER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME V PONDER M.D. (OWNER)
(910) 480-4880
Entity
Organization
Contact information
Practice address
413 OWEN DR, SUITE 101, FAYETTEVILLE, NC 28304-3489
(910) 480-4880
(910) 488-4856
Mailing address
413 OWEN DR, SUITE 101, FAYETTEVILLE, NC 28304-3489
(910) 480-4880
(910) 488-4856
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
12/12/2011
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