Individual
MACK C POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 DILLON DRIVE, SPARTANBURG, SC 29307
(864) 585-2027
Mailing address
PO BOX 277827, ATLANTA, GA 30384-7827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4331
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43312
—
SC
01
—
P00402286
MEDICARE RAILROAD PTAN#
GA
Enumeration date
05/18/2006
Last updated
11/05/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us