Individual
KATY POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1436 CHATTANOOGA AVE, DALTON, GA 30720-2637
(706) 226-2142
Mailing address
550 ACORN CT, CHATTANOOGA, TN 37415-4815
(404) 372-4065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22296
TN
363LF0000X
Family Nurse Practitioner
Primary
223046
GA
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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