Individual
JEROME VINCENT PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
9900735
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89130V8
—
NC
Enumeration date
03/31/2006
Last updated
02/04/2026
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