Organization
POLASCIK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER POLASCIK PA-C (PHYSICIAN ASSISTANT)
(678) 763-2483
Entity
Organization
Contact information
Practice address
2801 N DECATUR RD STE 200, DECATUR, GA 30033-5936
(404) 296-5005
Mailing address
790 HUFF RD NW APT 4055, ATLANTA, GA 30318-4373
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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