Individual
CALVIN P. POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
595 MAIN ST E, MEADVILLE, MS 39653-9233
(601) 384-8112
(601) 384-4100
Mailing address
PO BOX 636, 40 UNION CHURCH RD, MEADVILLE, MS 39653-0636
(601) 384-8112
(601) 384-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09173
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122580
—
MS
05
—
09013856
—
MS
Enumeration date
06/19/2006
Last updated
01/04/2011
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