Basic Information
Provider Information
NPI: 1316521677
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POLLYN-HILL
FirstName: DARLING
MiddleName: KARISO
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1420 STONEGATE PL
Address2:  
City: STONE MOUNTAIN
State: GA
PostalCode: 300836940
CountryCode: US
TelephoneNumber: 1770885956
FaxNumber:  
Practice Location
Address1: 175 GWINNETT DR
Address2:  
City: LAWRENCEVILLE
State: GA
PostalCode: 300468444
CountryCode: US
TelephoneNumber: 6782092394
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/11/2021
LastUpdateDate: 05/11/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/11/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XTEMP201334GAY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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