Provider Demographics
NPI:1477518504
Name:POOLE, DANNY GENE JR (ATC, MED)
Entity Type:Individual
Prefix:MR
First Name:DANNY
Middle Name:GENE
Last Name:POOLE
Suffix:JR
Gender:M
Credentials:ATC, MED
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Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:CLEMSON
Mailing Address - State:SC
Mailing Address - Zip Code:29633-0031
Mailing Address - Country:US
Mailing Address - Phone:864-656-2113
Mailing Address - Fax:864-656-6408
Practice Address - Street 1:100 PERIMETER ROAD
Practice Address - Street 2:
Practice Address - City:CLEMSON
Practice Address - State:SC
Practice Address - Zip Code:29634-0001
Practice Address - Country:US
Practice Address - Phone:864-656-2113
Practice Address - Fax:864-656-6408
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer