Dr. Stephanie Lynette Poole
M.D. | Pediatrics | Female
Dr. Stephanie Lynette Poole, M.D. is a Marietta, Georgia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Stephanie Lynette Poole is
611 Campbell Hill St Nw Ste 103, Marietta, Georgia - 30060-1386. She can be contacted on phone at
770-499-8909 and fax number 770-499-8911.
Dr. Stephanie Lynette Poole is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Stephanie Lynette Poole is
1003983693 which was assigned by NPPES on 29 Nov, 2006 and it was last updated on 31 Jan, 2020.
Dr. Stephanie Lynette Poole license number is
047011 for Pediatrics (208000000X) in Georgia.
Dr. Stephanie Lynette Poole is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Stephanie Lynette Poole basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Stephanie Lynette Poole |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Stephanie Lynette Poole address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 611 Campbell Hill St Nw Ste 103
Marietta, GA, 30060-1386
United States |
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| Phone Number : | 770-499-8909 |
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| Fax Number : | 770-499-8911 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1003983693 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Nov, 2006 |
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| Last Updated On : | 31 Jan, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Stephanie Lynette Poole are as mentioned. Primary taxonomy code for Dr. Stephanie Lynette Poole, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 047011 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Stephanie Lynette Poole such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 047011 | Other | GA | LICENSE |
| 412137622 | Other | GA | TAX ID |
| 000949044D | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 611 Campbell Hill St. Ste. 103
Marietta, GA, 30060
United States |
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| Phone Number : | 770-499-8909 |
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| Fax Number : | 770-499-8911 |
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Business Location:
Patients can refer following map for directions to
Dr. Stephanie Lynette Poole practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.