Search › Georgia › 374U00000X
Katina Ponder
NPI 1538525258 · on the registry since 2016
Practice
- Address
- 70 Trevitt Dr Apt E
Stone Mountain, GA 30083 - Phone
- (404) 884-9090
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 3747P1801X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia