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
Phone: (404) 403-4567
Fax: (404) 920-8185
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669454575 | NPPES |
| Georgia | Other | 050067085 | RAILROAD MEDICARE |
| Georgia | MEDICAID | 00820036A | RAILROAD MEDICARE |
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