DR. Jimmy Nolan Ponder JR., MD

NPI #1689644874 in Gray, Louisiana

Provider Information

NPI Number: 1689644874
Entity Type: Individual
Name: DR. Jimmy Nolan Ponder JR., MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Credential: MD
Enumeration Date: Jan 23, 2006
Last Updated: Jul 8, 2010

Practice Location

Address: 123 FRONTAGE A RD
City: Gray
State: Louisiana
ZIP Code: 70359-6301
Phone: (985) 580-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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