Individual
MADISON DARBY POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1777 MONTREAL CIR, TUCKER, GA 30084-6802
(866) 697-8378
Mailing address
2870 PHARR COURT SOUTH NW APT 2508, ATLANTA, GA 30305-2181
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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