Polles, Alexandria G

Polles, Alexandria G is an individual health care provider with primary practice located at 1 Lincoln Parkway Suite 202 , Hattiesburg MS 39402. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is her primary health care specialty. Polles, Alexandria G can be contacted via phone (601) 288-8050.

Contact Information

Primary practice address
1 Lincoln Parkway Suite 202 Hattiesburg MS 39402
Phone: (601) 288-8050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 11906 Mississippi
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 11906 Mississippi

Profile Details

NPI number 1851334981
LBN Legal business name Polles, Alexandria G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1851334981 NPPES
Mississippi MEDICAID 00018707

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