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Individual

DR. MATTHEW R. POLLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 MEDICAL PARK RD, SUITE 104, COLUMBIA, SC 29203-6875
(803) 434-6781
(803) 434-8377
Mailing address
PO BOX 22265, BELFAST, ME 04915-4473
(803) 296-7846
(803) 296-9699

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28866
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
28866
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
288664
SC
01
P00883441
RR MEDICARE ID
SC
05
PA4646
SC
Enumeration date
10/18/2006
Last updated
12/01/2021
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