Individual
JAMIE K POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3951 RIDGE AVE STE C, MACON, GA 31210-5064
(478) 254-8305
Mailing address
6701 BAUM DR STE 140, KNOXVILLE, TN 37919-7361
(865) 584-5727
(865) 450-9904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216673
GA
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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