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Individual

PAOLA POLANCO ROSARIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
675 COLLEGE AVE, ATHENS, GA 30601
(706) 546-5526
(706) 546-5687
Mailing address
675 COLLEGE AVE, ATHENS, GA 30601-2635
(706) 546-5526
(706) 546-5687

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31232R
PR
174400000X
Specialist
75818
GA
208000000X
Pediatrics Physician
Primary
75818
GA

Other

Enumeration date
07/07/2014
Last updated
03/16/2026
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