Individual
THOMAS ALAN POLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
845 82ND PKWY, MYRTLE BEACH, SC 29572-4614
(843) 449-9621
(843) 449-4921
Mailing address
845 82ND PKWY, MYRTLE BEACH, SC 29572-4614
(843) 449-9621
(843) 449-4921
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9075
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090751
—
SC
Enumeration date
12/22/2005
Last updated
03/22/2010
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