NPI 1104688910
Ebonique Poole
Practice location
- Address
- 126 Ivey Dr, Sandersville, GA 31082-8214
- Phone
- (478) 357-0324
Registered specialties
Transportation Broker
Primary
Registry record
- NPI
- 1104688910
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Jan 2024
- Record last updated
- 26 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.