| Dr Terry Brent Ponder, MD | |
|
5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | |
| (615) 695-4977 | |
| (615) 263-3348 |
| Full Name | Dr Terry Brent Ponder |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology |
| Location | 5301 Virginia Way, Brentwood, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336108349 | NPI | - | NPPES |
| 2549095 | Medicaid | OH | |
| 4715743 | Medicaid | MI |
| Entity Name | Consultants In Laboratory Medicine Of Greater Toledo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982673372 PECOS PAC ID: 2860474459 Enrollment ID: O20070831000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Terry Brent Ponder, MD 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 Ph: (615) 695-4977 | Dr Terry Brent Ponder, MD 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 Ph: (615) 695-4977 |
Kathy Bruner, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5301 Virginia Way, Suite 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Kenneth S Piech, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way, Ste 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Roy W. Kirchberg Jr., M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way, Ste 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Dr. Lori D Emerson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way, Suite 300, Brentwood, TN 37027 Phone: 615-695-4977 | |
Ben W Davis, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 5301 Virginia Way Ste 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Randall L Woodford, MD Pathology Medicare: Medicare Enrolled Practice Location: 5301 Virginia Way, 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 | |
Dr. Harry Karrick Daugherty Jr., MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5301 Virginia Way, Suite 300, Brentwood, TN 37027 Phone: 615-221-4474 Fax: 615-234-3774 |