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Contact Information

SAMUEL W POLEN, MD
1315 ROBERTS ST
CAMDEN, SC29020-3737
 Phone: 803-713-6140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SAMUEL W POLEN · (Male)

NPI Number 1194721076
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2005
Last updated 03/28/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 012753
  • SC Medicaid 127534
Hospital affiliation(s)
  • LAKE CITY COMMUNITY HOSPITAL - (Acute Care)
    258 N RON MCNAIR BLVD
    LAKE CITY, SC 29560
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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