Healthcare Provider Details

I. General information

NPI: 1699704197
Provider Name (Legal Business Name): APRIL L PONDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 07/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 PATTON CHAPEL RD
LINCOLN AL
35096
US

IV. Provider business mailing address

1100 PATTON CHAPEL RD
LINCOLN AL
35096
US

V. Phone/Fax

Practice location:
  • Phone: 205-763-1414
  • Fax: 205-463-1447
Mailing address:
  • Phone: 205-763-1414
  • Fax: 205-463-1447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number00024335
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: