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Dr. Jimmy Nolan Ponder JR., MD
Interventional Pain Medicine Physician in Gray, Louisiana
NPI 1689644874

Jimmy Nolan Ponder JR. is a Interventional Pain Medicine Physician based in Gray, LA and is specialized in Interventional Pain Medicine. Jimmy Nolan Ponder JR. practices in Gray, LA and has the professional credentials of MD. The NPI Number for Jimmy Nolan Ponder JR. is 1689644874 and holds a License No. 020658 (Louisiana).

The current practice location address for Jimmy Nolan Ponder JR. is 123 Frontage A Rd, Gray, LA and can be reached out via phone at 985-580-1200 and via fax at 985-580-1218.

Location: 123 Frontage A Rd, Gray, LA, 70359-6301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689644874
Provider Name
Jimmy Nolan Ponder JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
123 Frontage A Rd, Gray, LA, 70359-6301
Phone Number
985-580-1200
Fax Number
985-580-1218
Provider Enumeration Date
01/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1903680 05 LA
institution
Provider Business Practice Location Address Details
Address
123 Frontage A Rd
City
Gray
State
Louisiana
Zip
70359-6301
Phone Number
985-580-1200
Fax Number
985-580-1218
person
Provider Business Mailing Address Details
Address
123 Frontage A Rd
City
Gray
State
Louisiana
Zip
70359-6301
Phone Number
985-580-1200
Fax Number
985-580-1218
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
020658 (Louisiana)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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Interventional Pain Medicine Physician
123 Frontage A Rd,
GRAY, LA
70359-6301
985-580-1200
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