Search › Georgia › 253Z00000X
Ebony Polk
NPI 1588106397 · on the registry since 2016 · sole proprietor
Practice
- Address
- 63 Acorn Dr
Dallas, GA 30157 - Phone
- (678) 515-1844
- Fax
- (678) 515-1843
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Sex
- Female
- Record last updated
- 2016-11-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia