Individual
MRS. CRYSTAL DANIELLE POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3815 FABER PLACE DR, NORTH CHARLESTON, SC 29405-8533
(843) 767-9312
(843) 767-9313
Mailing address
3815 FABER PLACE DR, NORTH CHARLESTON, SC 29405-8533
(843) 767-9312
(843) 767-9313
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1351
SC
363AM0700X
Medical Physician Assistant
Primary
TL1351
SC
Other
Enumeration date
09/22/2008
Last updated
05/02/2022
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