Ponder, Jerome Vincent

Ponder, Jerome Vincent is an individual health care provider with primary practice located at 413 Owen Dr Suite 101, Fayetteville NC 28304-3489. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ponder, Jerome Vincent can be contacted via phone (910) 480-4880.

Contact Information

Primary practice address
413 Owen Dr Suite 101 Fayetteville NC 28304-3489
Phone: (910) 480-4880
Fax: (910) 488-4856
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 9900735 North Carolina

Profile Details

NPI number 1659332369
LBN Legal business name Ponder, Jerome Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jun 3rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659332369 NPPES
North Carolina MEDICAID 89130V8

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