Thomas Alan Polen, MD

NPI #1215913090 in Myrtle Beach, South Carolina

Provider Information

NPI Number: 1215913090
Entity Type: Individual
Name: Thomas Alan Polen, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Dec 22, 2005
Last Updated: Mar 22, 2010

Practice Location

Address: 845 82ND PKWY
City: Myrtle Beach
State: South Carolina
ZIP Code: 29572-4614
Phone: (843) 449-9621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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