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NPI Code Detail

MEDICARE: DR. JERRY WAYNE POLLARD

MEDICARE: DR. JERRY WAYNE POLLARD
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
1183500000XPharmacist5755TN

General Provider Information

NPI Number : 1841502564
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JERRY WAYNE POLLARD
Provider Business Mailing Address
First Line : 1650 E ANDREW JOHNSON HWY
Second Line :
City : GREENEVILLE
State : TN
Zip : 37745-4274
Country : US
Telephone Number : 423-638-4889
Fax Number :
Provider Business Practice Location Address
First Line : 1650 E ANDREW JOHNSON HWY
Second Line :
City : GREENEVILLE
State : TN
Zip : 37745-4274
Country : US
Telephone Number : 423-638-4889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2010
Last Update Date : 07/10/2010

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Directions to “ DR. JERRY WAYNE POLLARD ” Practice Location

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