MEDICARE: MARK T POLLOCK 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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	032275	GA
2	207RP1001X	Pulmonary Disease Physician	032275	GA
3	207RS0012X	Sleep Medicine (Internal Medicine) Physician	32275	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1659372415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK T POLLOCK M.D.

Provider Business Mailing Address
First Line	:	2665 N DECATUR RD STE 440
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033-6146
Country	:	US
Telephone Number	:	404-501-7584
Fax Number	:	404-501-7652

Provider Business Practice Location Address
First Line	:	2665 N DECATUR RD STE 440
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033-6146
Country	:	US
Telephone Number	:	404-501-7533
Fax Number	:	404-501-7652

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	10/26/2024

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Directions to “ MARK T POLLOCK M.D.” Practice Location

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