Wayne Carson Koontz M.D.

NPI 1013008036 - Pediatrics - 208000000X

NPI Details
NPI 1013008036
Gender Male
Enumeration Date 09/27/2006
Last Updated 07/12/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
129 WOODSON ST
SALISBURY NC, 28144-3255, US
Phone (704) 636-5576
Fax (704) 636-1755
Business Location
129 WOODSON ST
SALISBURY NC, 28144-3255, US
Phone (704) 636-5576
Fax (704) 636-1755
Toxanomy
Taxonomy Code 208000000X
License State North Carolina
License Number 14494
Remove 1013008036 NPI Number
 

According to our database, Dr. Wayne Carson Koontz M.D. NPI is 1013008036, taxonomy code is 208000000X and license number is 14494, license state is located at North Carolina. Wayne Carson Koontz M.D. physically located at 129 Woodson St, Salisbury NC, 28144-3255. NPI Number Wayne Carson Koontz M.D. has the Individual type.

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1013008036 NPI number is provided on an as is basis without warranty of any kind. 1013008036 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne Carson Koontz M.D. are for informational purposes only.