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Individual

JENNIFER THERESA POLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
700 21ST AVE N, MYRTLE BEACH, SC 29577-7400
(843) 448-8407
Mailing address
2072 BORGATA LOOP, LONGS, SC 29568-5756
(443) 463-5599

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
253912
SC

Other

Enumeration date
03/25/2020
Last updated
03/25/2020
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