Individual
MR. GERALD W. POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1002 INDUSTRIAL DR, OLD HICKORY, TN 37138-3696
(615) 847-6574
(615) 847-6036
Mailing address
1002 INDUSTRIAL DR, OLD HICKORY, TN 37138-3696
(615) 847-6574
(615) 847-6036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000000659
TN
363A00000X
Physician Assistant
PA19769
CA
Other
Enumeration date
08/31/2006
Last updated
05/19/2011
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