Individual provider · Type 1 NPI

Madison Darby Poole

Student in an Organized Health Care Education/Training Program · Tucker, GA

NPI number 1427873579 Active

Practice location

1777 Montreal Cir
Tucker, GA 30084-6802

Call (866) 697-8378 Map

Mailing address

2870 Pharr Court South NW Apt 2508
Atlanta, GA 30305-2181

Specialties and licenses

TaxonomyCodeLicense
Medical Technologist 246QM0706XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1427873579

Madison Darby Poole's National Provider Identifier is 1427873579, issued on Nov 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tucker, GA. The record was last updated on Nov 22, 2024.