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Individual

LUIS POLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1115 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 354-4813
(912) 354-7569
Mailing address
1115 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 354-4813
(912) 354-7569

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN240427
GA
363L00000X
Nurse Practitioner
Primary
RN240427
GA

Other

Enumeration date
04/27/2017
Last updated
05/01/2017
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