Individual
DR. SAMUEL WILLIAM POLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 ROBERTS ST, CAMDEN, SC 29020-3737
(803) 713-6140
Mailing address
101 PEE DEE DR, FLORENCE, SC 29501-8279
(843) 661-5061
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
012753
SC
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
012753
SC
207Q00000X
Family Medicine Physician
012753
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127534
—
SC
Enumeration date
06/24/2005
Last updated
03/28/2008
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