Alexandria G Polles in Hattiesburg - Addiction Psychiatry

Alexandria G Polles - NPI 1851334981

Alexandria G Polles is a Addiction Psychiatry in Hattiesburg, Mississippi. Alexandria G Polles practices all healthcare services and medical treatments related to Addiction Psychiatry. The NPI Number for Alexandria G Polles is 1851334981. The last update date is 2007-07-08.

Alexandria G Polles's current location address is 1 Lincoln Parkway Suite 202, Hattiesburg, Mississippi. You can contact this provider via phone number 6012888050. The mailing address for Alexandria G Polles is 1 Lincoln Parkway Suite 202, Hattiesburg, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Alexandria G Polles
Address 1 Lincoln Parkway Suite 202, Hattiesburg, Mississippi
Phone Number 6012888050
Fax Number
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1851334981
Provider Enumeration Date 2006-06-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1 Lincoln Parkway Suite 202
City Hattiesburg
State Mississippi (MS)
Post Code 39402
Phone Number 6012888050
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction Psychiatry
Taxonomy 2084P0802X
Licence No 11906
Definition:
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric d

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
18707 MS --

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FAQs about Alexandria G Polles

What is the unique 10-digit identifier code issued to Alexandria G Polles by the Centers for Medicare & Medicaid Services?

The Alexandria G Polles has been assigned the NPI (National Provider Identifier) 1851334981 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Alexandria G Polles?

The Alexandria G Polles is physically situated at 1 Lincoln Parkway Suite 202, in the city of Hattiesburg, state of MS, with the postal code 39402.

What is the Alexandria G Polles's specialty and taxonomy code?

The Alexandria G Polles's specialty is Addiction Psychiatry, and the corresponding taxonomy code is 2084P0802X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1851334981 to Alexandria G Polles?

The Centers for Medicare & Medicaid Services originally issued the 1851334981 to Alexandria G Polles on 2006-06-14.

As of what date was the information pertaining to Alexandria G Polles, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Alexandria G Polles, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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