Male or Other

Reynaldo A. Polk M.D

Emergency Medicine Physician in Decatur, GA(View on Map)

Full Name

Reynaldo Antoine Polk M.D

NPI Number

1275579922

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/21/2006

Specialties

(Taxonomies)

Code

207P00000X

Primary Taxonomy

Yes

Licenses

State

California

License Number

48928

Contact
Information

Purpose

Mailing
Location

Address

2100 POWELL STREET
2701 NORTH DECATUR ROAD

City

Emeryville
Decatur

State

CA
GA

Postal Code

94608-1803
30033

Country

US
US

Telephone Number

(510) 350-2777
(404) 501-1849

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/20/2007

Provider Address

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