Organization
PSYCHIATRY 280, P.C.
Active
Other names
PolekMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL ANDREW POLEK MD (OWNER)
(256) 499-1629
Entity
Organization
Contact information
Practice address
2803 GREYSTONE COMMERCIAL BLVD STE 12, BIRMINGHAM, AL 35242-9603
(205) 968-1227
(205) 968-1229
Mailing address
3840 REDDICK RD, PALMYRA, TN 37142-2141
(256) 499-1629
(423) 523-0994
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD32834
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171037
—
AL
Enumeration date
12/22/2014
Last updated
10/02/2023
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