NPI 1073568325
Headache & Pain Center, a Medical Corporation
Practice location
- Address
- 123 Frontage a Rd, Gray, LA 70359-6301
- Phone
- (985) 580-1200
- Fax
- (985) 580-1218
Authorised official
- Name
- Jimmy Nolan Ponder
- Title
- Owner/Ceo
- Phone
- (985) 580-1200
Registered specialties
Interventional Pain Medicine Physician
Primary
Registry record
- NPI
- 1073568325
- Entity type
- Organization
- NPI issued
- 24 May 2006
- Record last updated
- 8 Aug 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.