NPI 1245861236

Staci Ernandez Polk, PAC

Practitioner Physician Assistant Lancaster, SC

Practice location

Address: 834 W Meeting St STE E, Lancaster, SC 29720-6220
Phone: (803) 285-5900
Mailing address: PO Box 23467, New York, NY 10087-3467

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3508 (SC)

Other Physician Assistant providers in South Carolina →

Registry record

NPI: 1245861236
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2020
Record last updated: 26 Jan 2023

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.