Doctor Name: | LATOYA ICELLE POOLE |
NPI Number: | 1427335504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PCT |
License Number: | CN0028906123 |
Business Practice Address: | 316 Sheffield Ln Powder Springs, GA - 301278773 |
Business Phone Number: | 4044097280 |
Business Fax Number: | |
Mailing Address: | 316 Sheffield Ln, POWDER SPRINGS |
State: | GA |
Postal Code: | 301278773 |
Phone Number: | 4044097280 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2011 |
NPI Last Update Date: | 11/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | CN0028906123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |