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NPI Code Detail

MEDICARE: MS. DONNA LYNN POOLE RN

MEDICARE:  MS. DONNA LYNN POOLE  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician1051298AL
2101YM0800XMental Health CounselorRN214170SC

General Provider Information

NPI Number : 1841204674
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA LYNN POOLE RN
Provider Business Mailing Address
First Line : P.O. BOX 1030
Second Line :
City : MONCKS CORNER
State : SC
Zip : 29461-3967
Country : US
Telephone Number : 843-761-8282
Fax Number : 843-761-7308
Provider Business Practice Location Address
First Line : 2100 CHARLIE HALL BLVD
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5832
Country : US
Telephone Number : 843-501-3313
Fax Number : 843-571-7759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 03/21/2025

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Directions to “ MS. DONNA LYNN POOLE RN” Practice Location

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