Organization
DAY SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY NOLAN PONDER JR. MD (OWNER/MEDICAL DIRECTOR)
(985) 580-1598
Entity
Organization
Contact information
Practice address
151 FRONTAGE A RD, GRAY, LA 70359-6301
(985) 580-1598
(985) 580-1218
Mailing address
151 FRONTAGE A RD, GRAY, LA 70359-6301
(985) 580-1598
(985) 580-1218
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
82
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1549444
—
LA
01
—
20042
BC/BS PROVIDER NUMBER
LA
Enumeration date
05/24/2006
Last updated
07/26/2007
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