Thomas Alan Polen in Myrtle Beach - Surgery
Thomas Alan Polen - NPI 1215913090
Thomas Alan Polen is a Surgery in Myrtle Beach, South Carolina. Thomas Alan Polen practices all healthcare services and medical treatments related to Surgery. The NPI Number for Thomas Alan Polen is 1215913090. The last update date is 2010-03-22.
Thomas Alan Polen's current location address is 845 82nd Pkwy, Myrtle Beach, South Carolina. You can contact this provider via phone number 8434499621 and fax number 8434494921. The mailing address for Thomas Alan Polen is 845 82nd Pkwy, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Alan Polen |
|---|---|
| Address | 845 82nd Pkwy, Myrtle Beach, South Carolina |
| Phone Number | 8434499621 |
| Fax Number | 8434494921 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215913090 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2010-03-22 |
Provider Mailing Address Detail
| Address | 845 82nd Pkwy |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295724614 |
| Phone Number | 8434499621 |
| Fax Number | 8434494921 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 9075 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 90751 | SC | -- |
Post Comment/ Review Below
What is the Thomas Alan Polen's 1215913090?
The Thomas Alan Polen's NPI (National Provider Identifier) Number is 1215913090. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Thomas Alan Polen located?
The Thomas Alan Polen is located at 845 82Nd Pkwy, Myrtle Beach, SC 295724614.
What is Thomas Alan Polen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Thomas Alan Polen is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215913090 to Thomas Alan Polen?
The Centers for Medicare & Medicaid Services assigned the 1215913090 to Thomas Alan Polen on 2005-12-22.
As of what date were the details pertaining to Thomas Alan Polen last refreshed?
The information related to the Thomas Alan Polen, including its address, specialty, and other relevant details, was last updated on 2010-03-22.