Dr. Dawn Polly, M.D.
Pediatrics in Greenville, SC. Individual provider (NPI-1).
NPI number1497899892
StatusActive
Last updated in NPPESSep 10, 2013
Details
- NPI
- 1497899892
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dawn Polly
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 18, 2007
- Last updated
- Sep 10, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 28748 | SC | Yes |
Practice location
274 Commonwealth DrSuite C
Greenville, SC 29615-4869
Phone 864-551-2422 · Fax 864-551-2424
Mailing address
274 Commonwealth DrSuite C
Greenville, SC 29615-4869
Phone 864-551-2422 · Fax 864-551-2424
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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