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Individual

ANNA DOROTHEA POLLAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2836 AUGUSTA RD, WEST COLUMBIA, SC 29170-3323
(803) 939-0545
(803) 939-0583
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
(803) 939-0545
(803) 939-0583

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
21662
SC
363LF0000X
Family Nurse Practitioner
Primary
1025887
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831647411
SC
Enumeration date
09/13/2016
Last updated
10/30/2024
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