JAVARIS POLK

BIRMINGHAM, AL
NPI1699654079
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-171456)
Enumeration Date2025-08-29
Last Update Date2025-10-07
Business Address
JAVARIS POLK CRNA
619 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-934-3411
Mailing Address
JAVARIS POLK CRNA
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number: