Individual
JO LYNN POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4798 MCWILLIE DR, SUITE C, JACKSON, MS 39206-5608
(601) 362-7649
Mailing address
4798 MCWILLIE DR, SUITE C, JACKSON, MS 39206-5608
(601) 362-7649
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
08790
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08852201
—
MS
Enumeration date
08/08/2006
Last updated
07/08/2007
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