Individual
JACOB KEITH POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
566 RUIN CREEK RD, HENDERSON, NC 27536-2927
(252) 436-1540
Mailing address
PO BOX 2295, ASHEVILLE, NC 28802-2295
(828) 398-5244
(828) 360-3080
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6337
NC
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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