Provider Demographics
NPI:1790246585
Name:POOLE, ZACHARY BARTON (MD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:BARTON
Last Name:POOLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:121 BETHEL ST
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29710-1101
Mailing Address - Country:US
Mailing Address - Phone:803-222-9538
Mailing Address - Fax:803-222-1898
Practice Address - Street 1:121 BETHEL ST
Practice Address - Street 2:
Practice Address - City:CLOVER
Practice Address - State:SC
Practice Address - Zip Code:29710-1101
Practice Address - Country:US
Practice Address - Phone:803-222-9538
Practice Address - Fax:803-222-1898
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC250067207W00000X
SCMMD.89111207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology