Individual
BETHANY POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5667 PEACHTREE DUNWOODY RD NE, ATLANTA, GA 30342-1725
(404) 252-7200
(404) 252-8397
Mailing address
2932 YUKON TRL NW, ACWORTH, GA 30101-8880
(770) 974-3669
(404) 252-8397
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN102874
GA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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