Provider Demographics
NPI:1982727285
Name:THE POLLARD CLINIC PC
Entity Type:Organization
Organization Name:THE POLLARD CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:C
Authorized Official - Last Name:POLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-877-3322
Mailing Address - Street 1:12 ASHLAND TER
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-4142
Mailing Address - Country:US
Mailing Address - Phone:423-877-3322
Mailing Address - Fax:423-877-2225
Practice Address - Street 1:12 ASHLAND TER
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-4142
Practice Address - Country:US
Practice Address - Phone:423-877-3322
Practice Address - Fax:423-877-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTNDC270111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3672617Medicare ID - Type Unspecified
TNU26217Medicare UPIN