| Dr Stephanie Lynette Poole, MD | |
|
611 Campbell Hill St Nw Ste 103, Marietta, GA 30060-1386 | |
| (770) 499-8909 | |
| (770) 499-8911 |
| Full Name | Dr Stephanie Lynette Poole |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 33 Years |
| Location | 611 Campbell Hill St Nw Ste 103, Marietta, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003983693 | NPI | - | NPPES |
| 047011 | Other | GA | LICENSE |
| 412137622 | Other | GA | TAX ID |
| 000949044D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 047011 (Georgia) | Primary |
| Entity Name | 1960 Physician Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215391941 PECOS PAC ID: 1153611975 Enrollment ID: O20160608000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephanie Lynette Poole, MD 611 Campbell Hill St. Ste. 103, Marietta, GA 30060 Ph: (770) 499-8909 | Dr Stephanie Lynette Poole, MD 611 Campbell Hill St Nw Ste 103, Marietta, GA 30060-1386 Ph: (770) 499-8909 |
Mrs. Nicole A Smail, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Post Oak Tritt Rd, Suite 100, Marietta, GA 30062 Phone: 770-978-4700 |
Brenda L Marino, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 677 Church St, Hospital Based Only Kennestone Wellstar, Marietta, GA 30060 Phone: 770-779-3603 Fax: 770-793-9925 |
Carla A Mclean-joseph, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1575 County Services Pkwy Sw, Marietta, GA 30008 Phone: 770-528-4192 Fax: 770-528-5463 |
Brianna English, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1405 Franklin Gtwy Se, Marietta, GA 30067 Phone: 770-951-5400 |
Dr. Bianca Camac Bell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5672 |
Dr. Lori Spitzer Corley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3707 Largent Way Nw, Marietta, GA 30064 Phone: 678-581-5729 Fax: 678-581-5719 |
Mr. Richard Rhodes, NP-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Post Oak Tritt Rd Ste 100, Marietta, GA 30062 Phone: 770-973-4700 |