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Contact Information

TERRY B PONDER, MD
5301 VIRGINIA WAY
SUITE 300
BRENTWOOD, TN37027-7541
 Phone: 615-695-4977
 Fax: 615-263-3348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology

207ZP0101X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for TERRY B PONDER · (Male)

NPI Number 1336108349
Status Active
Credentials MD
Entity Individual
Enumeration date 03/20/2006
Last updated 04/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301090981
  • MO License # 36726
  • OH License # 35085815
  • MI Medicaid 4715743
  • OH Medicaid 2549095
Hospital affiliation(s)
  • POPLAR BLUFF REGIONAL MEDICAL CENTER - (Acute Care)
    3100 OAK GROVE ROAD
    POPLAR BLUFF, MO 63901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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