Provider Demographics
NPI:1821019654
Name:POLLOCK, NELSON E (MD)
Entity Type:Individual
Prefix:
First Name:NELSON
Middle Name:E
Last Name:POLLOCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1701 WESTCHESTER DRIVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2001
Practice Address - Street 1:810 N LINDSAY ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3902
Practice Address - Country:US
Practice Address - Phone:336-802-2060
Practice Address - Fax:336-802-2061
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC22808207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8968347Medicaid
NC110122234OtherRR MEDICARE
C86022Medicare UPIN
NC8968347Medicaid