| Elizabeth Eyvonne Pooler | |
|
513 Academy Avenue Dublin GA 31021 | |
| (478) 304-5060 | |
| (478) 272-3631 |
| Full Name | Elizabeth Eyvonne Pooler |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 513 Academy Avenue, Dublin, Georgia |
| Authorized Official Name and Position | Elizabeth Eyvonne Pooler (CEO/PRESIDENT) |
| Authorized Official Contact | 4783045060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Eyvonne Pooler 513 Academy Avenue Dublin GA 31021 Ph: (478) 304-5060 | Elizabeth Eyvonne Pooler 513 Academy Avenue Dublin GA 31021 Ph: (478) 304-5060 |
| NPI Number | 1750708020 |
|---|---|
| Provider Enumeration Date | 03/25/2014 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750708020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Georgia) | Secondary |
| 251S00000X | Community/behavioral Health | 1400005905 (Georgia) | Primary |
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