| Polekmd | |
|
2803 Greystone Commercial Blvd Ste 12 Birmingham AL 35242-9603 | |
| (205) 968-1227 | |
| (205) 968-1229 |
| Full Name | Polekmd |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2803 Greystone Commercial Blvd Ste 12, Birmingham, Alabama |
| Authorized Official Name and Position | Samuel Andrew Polek (OWNER) |
| Authorized Official Contact | 2564991629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polekmd 3840 Reddick Rd Palmyra TN 37142-2141 Ph: (256) 499-1629 | Polekmd 2803 Greystone Commercial Blvd Ste 12 Birmingham AL 35242-9603 Ph: (205) 968-1227 |
| NPI Number | 1528456779 |
|---|---|
| Provider Enumeration Date | 12/22/2014 |
| Last Update Date | 10/02/2023 |
| Certification Date | 10/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528456779 | NPI | - | NPPES |
| 171037 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD32834 (Alabama) | Primary |
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