Individual
DR. MEGHAN PAGE POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
286 CALHOUN STATION PKWY, MADISON, MS 39110-5537
(601) 200-4321
(601) 859-0159
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(601) 200-4321
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24279
MS
208000000X
Pediatrics Physician
24279
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00909269
—
MS
01
—
24279
MEDICAL LICENSE
MS
01
—
523150YJ9X
MEDICARE
MS
01
—
T-2593
TEMPORARY MEDICAL LICENSE NUMBER
MS
Enumeration date
06/29/2012
Last updated
11/09/2023
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