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1174159800
JAMIE K POLK
MACON, GA
NPI
1174159800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 216673)
Enumeration Date
2020-03-13
Last Update Date
2020-03-13
Business Address
JAMIE K POLK NP
3951 RIDGE AVE STE C
MACON, GA 31210-5064
Phone number: 478-254-8305
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Mailing Address
JAMIE K POLK NP
6701 BAUM DR STE 140
KNOXVILLE, TN 37919-7361
Phone number: 865-584-5727
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