DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SAMUEL WILLIAM POLEN M.D.

MEDICARE:  DR. SAMUEL WILLIAM POLEN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician012753SC
2207PE0005XUndersea and Hyperbaric Medicine (Emergency Medicine) Physician012753SC
3207Q00000XFamily Medicine Physician012753SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194721076
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL WILLIAM POLEN M.D.
Provider Business Mailing Address
First Line : 101 PEE DEE DR
Second Line :
City : FLORENCE
State : SC
Zip : 29501-8279
Country : US
Telephone Number : 843-661-5061
Fax Number :
Provider Business Practice Location Address
First Line : 1315 ROBERTS ST
Second Line :
City : CAMDEN
State : SC
Zip : 29020-3737
Country : US
Telephone Number : 803-713-6140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 03/28/2008

Similar Medicare Providers

1073500740 — ANTHONY J. ARMSTRONG MD
Practice Location Address:
1315 ROBERTS ST
CAMDEN, SC
29020-3737
Practice Phone: 803-432-4311
Practice Fax:
1245220300 — KERSHAW HOSPITAL LLC
Practice Location Address:
1315 ROBERTS ST
CAMDEN, SC
29020-3737
Practice Phone: 803-432-4311
Practice Fax:
1770560021 — TODD RICHARD GUSTAFSON CRNA
Practice Location Address:
1315 ROBERTS ST
CAMDEN, SC
29020-3737
Practice Phone: 803-432-4311
Practice Fax:
1194702449 — LINDA GEORGE VAN DAM CRNA
Practice Location Address:
1315 ROBERTS ST
CAMDEN, SC
29020-3737
Practice Phone: 803-432-4311
Practice Fax:
1750369518 — DR. NARENDRA C PATEL MD
Practice Location Address:
1315 ROBERTS ST , KERSHAW COUNTY MEDICAL CENTER
CAMDEN, SC
29020-3737
Practice Phone: 803-432-4311
Practice Fax:
1619955846 — DR. ROBERT G. DAWKINS JR. M.D.
Practice Location Address:
1315 ROBERTS ST
CAMDEN, SC
29020-3737
Practice Phone: 803-432-4311
Practice Fax:

Directions to “ DR. SAMUEL WILLIAM POLEN M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.