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Individual

DR. BRYANT EMORY POOLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Mailing address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18517
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000340002
MEDICARE PTAN
AL
05
009912668
AL
01
0366100001
MC NSC
AL
Enumeration date
02/07/2006
Last updated
04/01/2014
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