Individual
ZACHARY POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2690 MADISON ST STE 130, CLARKSVILLE, TN 37043-6185
(931) 245-1701
(931) 245-1720
Mailing address
2690 MADISON ST STE 130, CLARKSVILLE, TN 37043-6185
(931) 245-1701
(931) 245-1720
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3973
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3973
PA
TN
Enumeration date
10/30/2019
Last updated
10/30/2019
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