Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JIMMY NOLAN PONDER JR., MD
Active Sole ProprietorDR. JIMMY NOLAN PONDER JR., MD is a Interventional Vascular Surgery healthcare provider located in GRAY, Louisiana. NPI 1689644874 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · GRAY, LA
Registration Details
- NPI Number
- 1689644874
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2006 (20.566803083204 yrs)
- Last Updated
- Jul 8, 2010
- License
-
020658 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
123 FRONTAGE A RDGRAY, LA, 703596301Browse LA providers · Browse ZIP 70359
- Phone
- 9855801200
- Fax
- 9855801218
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.