Individual
JERMAINE POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 E LEIGH ST, RICHMOND, VA 23298
(804) 828-7247
Mailing address
11500 MAPLE LANDING PL, CHESTER, VA 23831-7759
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN310742
GA
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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