MR. Gerald W. Polk, PA-C

NPI #1558472936 in Old Hickory, Tennessee

Provider Information

NPI Number: 1558472936
Entity Type: Individual
Name: MR. Gerald W. Polk, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 31, 2006
Last Updated: May 19, 2011

Practice Location

Address: 1002 INDUSTRIAL DR
City: Old Hickory
State: Tennessee
ZIP Code: 37138-3696
Phone: (615) 847-6574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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