Provider Demographics
NPI:1790007003
Name:POOLSON, CLAUDIA INGRID (RPA, RRA)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:INGRID
Last Name:POOLSON
Suffix:
Gender:F
Credentials:RPA, RRA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 COMMERCE DR
Mailing Address - Street 2:A-4
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-3127
Mailing Address - Country:US
Mailing Address - Phone:404-421-6838
Mailing Address - Fax:678-843-5357
Practice Address - Street 1:5665 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1764
Practice Address - Country:US
Practice Address - Phone:678-843-5365
Practice Address - Fax:678-843-5357
Is Sole Proprietor?:No
Enumeration Date:2010-02-28
Last Update Date:2010-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA304252243U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant