Polk, Marcus Q.

Polk, Marcus Q. is an individual health care provider with primary practice located at 3006 Clairmont Rd Ne # 100 , Brookhaven GA 30329-1602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Polk, Marcus Q. can be contacted via phone (404) 403-4567.

Contact Information

Primary practice address
3006 Clairmont Rd Ne # 100 Brookhaven GA 30329-1602
Fax: (404) 920-8185
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 040758 Georgia

Profile Details

NPI number 1669454575
LBN Legal business name Polk, Marcus Q.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Apr 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669454575 NPPES
Georgia Other 050067085 RAILROAD MEDICARE
Georgia MEDICAID 00820036A RAILROAD MEDICARE

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