DESMOND RECARDO PONDER

MYRTLE BEACH, SC
NPI1184206674
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  86042)
Enumeration Date2021-04-23
Last Update Date2024-08-07
Business Address
DESMOND RECARDO PONDER MD
5010 CAROLINA FOREST BLVD
MYRTLE BEACH, SC 29579-3579
Phone number: 843-236-2700
Mailing Address
DESMOND RECARDO PONDER MD
300 SINGLETON RIDGE RD ATTENTION PNS CREDENTIALING
CONWAY, SC 29526-9142
Phone number: 843-234-6946
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