Doctor Name: | MS. ZOE KLECKNER POGUE |
NPI Number: | 1396714374 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 19473 |
Business Practice Address: | 99 Bridgetown Rd. Goose Creek, SC - 29445 |
Business Phone Number: | 8435723300 |
Business Fax Number: | 8437973331 |
Mailing Address: | 99 Bridgetown Rd., GOOSE CREEK |
State: | SC |
Postal Code: | 29445 |
Phone Number: | 8435723300 |
Fax Number: | 8437973331 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 07/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 19473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |