Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID T KOON JR., MD
Active Sole ProprietorFamily Medicine · SUMMERTON, SC
Registration Details
- NPI Number
- 1619954377
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2005 (20.357648504778 yrs)
- Last Updated
- Nov 15, 2007
- License
-
19651 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
123 MAIN STSUMMERTON, SC, 29148Browse SC providers · Browse ZIP 29148
- Phone
- 8034852240
- Fax
- 8034852219
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.