# POLASCIK LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053877787
- **Authorized official:** CHRISTOPHER POLASCIK PA-C (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (678) 763-2483

## Contact information

- **Practice address:** 2801 N DECATUR RD STE 200, DECATUR, GA 30033-5936
- **Practice address phone:** (404) 296-5005
- **Mailing address:** 790 HUFF RD NW APT 4055, ATLANTA, GA 30318-4373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2019
- **Last updated:** 02/19/2019