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Mr. Frederick Leon Polando, PA
Physician Assistant in Georgetown, South Carolina
NPI 1265537021

Frederick Leon Polando is a Physician Assistant based in Fort Myers, SC. Frederick Leon Polando practices in Georgetown, SC and has the professional credentials of PA. The NPI Number for Frederick Leon Polando is 1265537021 and holds a License No. MA002186L (South Carolina).

The current practice location address for Frederick Leon Polando is 580 Black River Rd, Georgetown, SC and can be reached out via phone at 843-652-4000 and via fax at 843-652-4004. You can also correspond with Frederick Leon Polando through the mailing address at 2234 COLONIAL BLVD, FORT MYERS, FL - 33907-1412 (mailing address contact number: 239-931-7342).

Location: 580 Black River Rd, Georgetown, SC, 33907-1412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265537021
Provider Name
Frederick Leon Polando
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
580 Black River Rd, Georgetown, SC, 33907-1412
Phone Number
843-652-4000
Fax Number
843-652-4004
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5627895 01 SC AETNA
80026712 01 SC SELECT HEALTH
8600568 01 WV AETNA
2175863 01 WV UNITED HEALTHCARE
P01225399 01 SC RAILROAD MCR
institution
Provider Business Practice Location Address Details
Address
580 Black River Rd
City
Georgetown
State
South Carolina
Zip
29440-3302
Phone Number
843-652-4000
Fax Number
843-652-4004
person
Provider Business Mailing Address Details
Address
580 Black River Rd
City
Georgetown
State
South Carolina
Zip
29440-3302
Phone Number
843-652-4000
Fax Number
843-652-4004
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
TL1940 (South Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA002186L (Pennsylvania)
Definition
Definition to come...
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