Richard Allison Pollock
Surgeon Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
97 Deep South Farm Rd Ste 2
Blairsville
, Georgia 30512-2298
Richard Allison Pollock
Surgeon Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
97 Deep South Farm Rd Ste 2
Blairsville
, Georgia 30512-2298
(770) 345-6611
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
- Surgeon
Languages spoken
- English
Location
First Address
- Richard Allison Pollock
- 215 Riverstone Dr
- Canton, GA
- Zip : 30114-5256
- Fax : (770) 345-6611
- Phone : (770) 345-6600
Second Address
- Richard Allison Pollock
- 97 Deep South Farm Rd Ste 2
- Blairsville, GA
- Zip : 30512-2298
- Fax : (770) 345-6611
- Phone : (770) 345-6600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD444495 | PA |
| Y | 207YS0123X | Facial Plastic Surgeon | 12542 | GA |
| N | 207YS0123X | Facial Plastic Surgeon | 37961 | KY |
| N | 208200000X | Surgeon | 37961 | KY |
| N | 208600000X | Surgeon | 37961 | KY |
National Provider Identifier
| NPI | 1386609220 |
|---|---|
| Provider Name | Richard Allison Pollock |
| First Address | Canton, GA 30114-5256 |
| Second Address | Blairsville, GA 30512-2298 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2006 |
| Last Update Date | 13/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 103074000 | (05) | PA |
| 64083215 | (05) | KY |
| D40878 | (02) | |
| G22481A | MEDICARE PTAN - GA (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.