Organization
TRACY L. POOL, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L POOL MD (OWNER)
(256) 505-6826
Entity
Organization
Contact information
Practice address
15243 GREENFIELD DR, ATHENS, AL 35613-2899
(256) 216-3505
Mailing address
15243 GREENFIELD DR, ATHENS, AL 35613-2899
(256) 216-3505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117247
—
AL
Enumeration date
03/06/2010
Last updated
08/28/2020
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