Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Frederick Leon Polando, PA

Individual provider Medical Physician Assistant · NPI 1265537021

Mr. Frederick Leon Polando, PA is a Medical Physician Assistant in Georgetown, South Carolina. Licensed in Pennsylvania and South Carolina. Registered with an NPI since 2006.

Licensed in
PA, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

580 Black River Rd
Georgetown, SC 29440-3302
Phone: (843) 652-4000
Fax: (843) 652-4004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TL1940 (SC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA002186L (PA)

Record details

NPI number1265537021
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESDecember 16, 2014
Mailing address2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept., Fort Myers, FL 33907-1412

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