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Individual

JANET C POOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1410 S KINGS HWY, MYRTLE BEACH, SC 29577-4509
(843) 448-2228
(843) 448-2691
Mailing address
4728 JENN DR, SUITE 106, MYRTLE BEACH, SC 29577-5714
(843) 839-9202
(843) 467-2560

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APN 2251
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP4266
SC
Enumeration date
10/06/2005
Last updated
10/04/2007
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