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Search › Georgia › 106S00000X

Raven Poole

NPI 1881312528 · on the registry since 2022

Practice

Address
100 Grace Hopper Ln Ste 3700
Augusta, GA 30901
Phone
(800) 356-4049
Fax
(941) 485-0519
Organisation at this address
Pinnacle Care Pc
Revive Healthcare Solutions Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia