MR. Frederick Leon Polando, P.A

NPI #1265537021 in Georgetown, South Carolina

Provider Information

NPI Number: 1265537021
Entity Type: Individual
Name: MR. Frederick Leon Polando, P.A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A
Enumeration Date: Sep 14, 2006
Last Updated: Dec 16, 2014

Practice Location

Address: 580 BLACK RIVER RD
City: Georgetown
State: South Carolina
ZIP Code: 29440-3302
Phone: (843) 652-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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