NPI 1215913090

Thomas Alan Polen, MD

Practitioner Surgery Physician Myrtle Beach, SC

Practice location

Address: 845 82nd Pkwy, Myrtle Beach, SC 29572-4614
Phone: (843) 449-9621
Fax: (843) 449-4921

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 9075 (SC)

Other Surgery providers in South Carolina →

Registry record

NPI: 1215913090
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2005
Record last updated: 22 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.