Organization
TARA POLSON
Active
Organization
TARA POLSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA MEDEIROS (BUSINESS MANAGER)
(912) 356-2546
Entity
Organization
Contact information
Practice address
1915 EISENHOWER DR, SAVANNAH, GA 31406-5027
(912) 353-3079
Mailing address
1915 EISENHOWER DR, SAVANNAH, GA 31406-5027
(912) 353-3079
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
PSY003415
GA
Other
Enumeration date
10/27/2011
Last updated
03/13/2012
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