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Individual

MICHAEL D POOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5356 REYNOLDS ST, SUITE 505, SAVANNAH, GA 31405-6106
(912) 644-5300
(912) 644-5260
Mailing address
5356 REYNOLDS ST, SUITE 505, SAVANNAH, GA 31405-6106
(912) 644-5300
(912) 644-5260

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
030190
GA
207Y00000X
Otolaryngology Physician
25083
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000364064M
GA
Enumeration date
07/18/2006
Last updated
05/03/2016
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