James Fletcher Koon in Kershaw - Family Medicine

James Fletcher Koon - NPI 1093792608

James Fletcher Koon is a Family Medicine in Kershaw, South Carolina. James Fletcher Koon practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for James Fletcher Koon is 1093792608. The last update date is 2008-08-05.

James Fletcher Koon's current location address is 206 S Matson St, Kershaw, South Carolina. You can contact this provider via phone number 8034751156 and fax number 8034751128. The mailing address for James Fletcher Koon is 206 S Matson St, Kershaw, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name James Fletcher Koon
Address 206 S Matson St, Kershaw, South Carolina
Phone Number 8034751156
Fax Number 8034751128
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1093792608
Provider Enumeration Date 2005-12-23
Last Updated Date 2008-08-05

Provider Mailing Address Detail

Address 206 S Matson St
City Kershaw
State South Carolina (SC)
Post Code 290671506
Phone Number 8034751156
Fax Number 8034751128

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 18339
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
80179118 SC RETIRED RR MEDICARE
229650 SC UNISON
5532095 SC AETNA
8874326 SC PPNI
T24079 SC --
1153584 SC AMERIGROUP
20071782 SC SELECT HEALTH
21149333031 SC BEECHSTREET
A8973 SC MEDCOST
3091345 SC CIGNA

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FAQs about James Fletcher Koon

What is the James Fletcher Koon's 1093792608?

The James Fletcher Koon's NPI (National Provider Identifier) Number is 1093792608. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where James Fletcher Koon's facilities are geographically located?

The facilities of James Fletcher Koon are physically situated at the following location: 206 S Matson St, Kershaw, SC, 290671506.

What is James Fletcher Koon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for James Fletcher Koon is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

When was the James Fletcher Koon's 1093792608 issued?

The James Fletcher Koon's 1093792608 was issued on 2005-12-23.

As of what date was the information regarding James Fletcher Koon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to James Fletcher Koon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-08-05.

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