NPI 1669269502

Querita Poole

Practitioner Driver Madison, AL

Practice location

Address: 25724 Grayson Lndg, Madison, AL 35756-5076
Phone: (615) 484-1551
Fax: (615) 484-1551

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 10961758 (AL)

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Registry record

NPI: 1669269502
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2025
Record last updated: 23 Apr 2025

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.