Michael Vincent Polis, REGISTERED DIETITIAN
NPI #1972951614 in Fort Moore, Georgia
Provider Information
- NPI Number
- 1972951614
- Entity Type
- Individual
- Name
- Michael Vincent Polis, REGISTERED DIETITIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- REGISTERED DIETITIAN
- Enumeration Date
- Jun 2, 2016
- Last Updated
- Apr 18, 2024
Practice Location
- Address
- MARTIN ARMY 6600
- Address 2
- 9250
- City
- Fort Moore
- State
- Georgia
- ZIP Code
- 31905
- Phone
- (762) 408-2033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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