DESMOND RECARDO PONDER

CONWAY, SC
NPI1184206674
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-23
Last Update Date2021-04-23
Business Address
DESMOND RECARDO PONDER MD
300 SINGLETON RIDGE RD
CONWAY, SC 29526-9142
Phone number: 943-347-8134
Mailing Address
DESMOND RECARDO PONDER MD
300 SINGLETON RIDGE RD
CONWAY, SC 29526-9142
Phone number: 943-347-8134
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