Misty Denise Poole, M.D.

NPI #1134358419 in Vidalia, Georgia

Provider Information

NPI Number: 1134358419
Entity Type: Individual
Name: Misty Denise Poole, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 8, 2009
Last Updated: Oct 7, 2015

Practice Location

Address: 210 MOSE COLEMAN DR
City: Vidalia
State: Georgia
ZIP Code: 30474-8677
Phone: (912) 537-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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