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Organization

URGENT CARE OBSTETRICS & GYNECOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEROME V PONDER M.D. (CEO)
(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
261QU0200X
Urgent Care Clinic/Center
Primary
9900735
NC

Other

Enumeration date
02/26/2009
Last updated
02/26/2009
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