Organization
DR. E. M. POOLE JR. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR MORGAN POOLE JR. OD (MANAGING MEMBER)
(864) 585-3281
Entity
Organization
Contact information
Practice address
705 E MAIN ST, SPARTANBURG, SC 29302-1281
(864) 585-3281
(864) 585-2255
Mailing address
705 E MAIN ST, SPARTANBURG, SC 29302-1281
(864) 585-3281
(864) 585-2255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
539
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D05395
—
SC
Enumeration date
10/10/2006
Last updated
08/08/2011
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