Individual
MICHAEL VINCENT POLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED DIETITIAN
Contact information
Practice address
MARTIN ARMY 6600, 9250, FORT MOORE, GA 31905
(762) 408-2033
Mailing address
MARTIN ARMY 6600 VAN AALST BLVD, BLD 9250, FOR MOORE, GA 31905
(762) 408-1190
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2254
AL
Other
Enumeration date
06/02/2016
Last updated
04/18/2024
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