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NPI Code Detail

MEDICARE: THERESA A. POLLARD MD

MEDICARE: THERESA A. POLLARD MD
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
1207R00000XInternal Medicine Physician36615TN
2208M00000XHospitalist Physician36615TN

General Provider Information

NPI Number : 1073513537
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERESA A. POLLARD MD
Provider Business Mailing Address
First Line : 2525 DESALES AVE
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37404-1161
Country : US
Telephone Number : 423-495-2620
Fax Number : 423-495-2625
Provider Business Practice Location Address
First Line : 2525 DESALES AVE
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37404-1161
Country : US
Telephone Number : 423-495-2620
Fax Number : 423-495-2625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2005
Last Update Date : 07/10/2023

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