Pollard, Derek Brett

Pollard, Derek Brett is an individual health care provider with primary practice located at 960 Joe Frank Harris Pkwy Se , Cartersville GA 30120-2129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pollard, Derek Brett can be contacted via phone (678) 928-9759.

Contact Information

Primary practice address
960 Joe Frank Harris Pkwy Se Cartersville GA 30120-2129
Phone: (678) 928-9759
Fax: (678) 928-9759
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 049409 Georgia

Profile Details

NPI number 1114976040
LBN Legal business name Pollard, Derek Brett
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Nov 4th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114976040 NPPES
Georgia Other GRP1205 GROUP MEDICARE ID
Georgia MEDICAID 734817502 GROUP MEDICARE ID

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