Individual
RENEKA KIERA POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1015 MEDICAL CENTER PKWY, SELMA, AL 36701-6748
(334) 418-4100
Mailing address
6254 WARM SPRINGS RD APT H10, COLUMBUS, GA 31909-9157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-152770
AL
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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