James D Polk M.D.

NPI 1083601348 - Family Medicine - 207Q00000X

NPI Details
NPI 1083601348
Gender Male
Enumeration Date 10/03/2005
Last Updated 04/19/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
1201 HIGHWAY 49 S STE 4
RICHLAND MS, 39218-9425, US
Phone (601) 932-6400
Fax (601) 932-6437
Business Location
PO BOX 180367
RICHLAND MS, 39218-0367, US
Phone (601) 932-6400
Fax (601) 932-6437
Taxonomy Code 207Q00000X
License State Mississippi
License Number 06229
Remove 1083601348 NPI Number

According to our database, Dr. James D Polk M.D. NPI is 1083601348, taxonomy code is 207Q00000X and license number is 06229, license state is located at Mississippi. James D Polk M.D. physically located at 1201 Highway 49 S Ste 4, Richland MS, 39218-9425. NPI Number James D Polk M.D. has the Individual type.

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1083601348 NPI number is provided on an as is basis without warranty of any kind. 1083601348 is maintained by the National Plan & Provider Enumeration System. The contents of James D Polk M.D. are for informational purposes only.