Individual
MACKENZIE LEE POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(404) 668-2667
Mailing address
1262 PARKWOOD CHASE NW, ACWORTH, GA 30102-3499
(404) 668-2667
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003272
GA
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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