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NPI Code Detail

MEDICARE: DANIEL POOLE

MEDICARE: DANIEL POOLE
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
1207Q00000XFamily Medicine Physician0101279918VA
2207Q00000XFamily Medicine Physician93979SC
3207QS0010XSports Medicine (Family Medicine) Physician333412LA
4207Q00000XFamily Medicine Physician333412LA

General Provider Information

NPI Number : 1922505676
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL POOLE
Provider Business Mailing Address
First Line : 1818 HENDERSON ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2619
Country : US
Telephone Number : 803-782-4278
Fax Number :
Provider Business Practice Location Address
First Line : 8091 RIVERS AVE
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9236
Country : US
Telephone Number : 843-572-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2018
Last Update Date : 12/04/2025

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Directions to “ DANIEL POOLE ” Practice Location

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