Individual
MR. SHEVIN DWIGHT POLLYDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. FAAPMR
Contact information
Practice address
939 BOB ARNOLD BLVD STE A, LITHIA SPRINGS, GA 30122-3258
(770) 769-1724
Mailing address
939 BOB ARNOLD BLVD STE A, LITHIA SPRINGS, GA 30122-3258
(770) 769-1724
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
045588
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00B03965H
—
GA
01
—
0486290001
DME
—
Enumeration date
08/22/2005
Last updated
07/21/2023
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