Erinn Nicole Ponder D.P.M.

NPI 1255642609 - Podiatrist - 213ES0103X

NPI Details
NPI 1255642609
Gender Female
Enumeration Date 06/30/2010
Last Updated 11/05/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
5150 STILESBORO RD NW
SUITE 620
KENNESAW GA, 30152-7744, US
Phone (678) 310-0540
Fax (678) 310-0538
Business Location
5150 STILESBORO RD NW
SUITE #620
KENNESAW GA, 30152-7744, US
Phone (678) 310-0540
Fax (678) 310-0538
Toxanomy
Taxonomy Code 213ES0103X
License State Florida
License Number PO 3614
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According to our database, Erinn Nicole Ponder D.P.M. NPI is 1255642609, taxonomy code is 213ES0103X and license number is PO 3614, license state is located at Florida. Erinn Nicole Ponder D.P.M. physically located at 5150 Stilesboro Rd Nw, Kennesaw GA, 30152-7744. NPI Number Erinn Nicole Ponder D.P.M. has the Individual type.

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1255642609 NPI number is provided on an as is basis without warranty of any kind. 1255642609 is maintained by the National Plan & Provider Enumeration System. The contents of Erinn Nicole Ponder D.P.M. are for informational purposes only.