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Michael A Ponder, MD
Cardiovascular Disease Physician in Kingsport, Tennessee
NPI 1831155944

Michael A Ponder is a Cardiovascular Disease Physician based in Kingsport, TN and is specialized in Cardiovascular Disease. Michael A Ponder practices in Kingsport, TN and has the professional credentials of MD. The NPI Number for Michael A Ponder is 1831155944 and holds a License No. MD19887 (Tennessee).

The current practice location address for Michael A Ponder is 2205 Pavilion Dr, Kingsport, TN and can be reached out via phone at 423-857-7650 and via fax at 423-857-7655.

Location: 2205 Pavilion Dr, Kingsport, TN, 37660-4641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831155944
Provider Name
Michael A Ponder
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2205 Pavilion Dr, Kingsport, TN, 37660-4641
Phone Number
423-857-7650
Fax Number
423-857-7655
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01074944 01 TN RAILROAD MEDICARE
3843357 05 TN
64011844 05 KY
1831155944 05 VA
institution
Provider Business Practice Location Address Details
Address
2205 Pavilion Dr
City
Kingsport
State
Tennessee
Zip
37660-4641
Phone Number
423-857-7650
Fax Number
423-857-7655
person
Provider Business Mailing Address Details
Address
2205 Pavilion Dr
City
Kingsport
State
Tennessee
Zip
37660-4641
Phone Number
423-857-7650
Fax Number
423-857-7655
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
MD19887 (Tennessee)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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