Koon, James Fletcher

Koon, James Fletcher is an individual health care provider with primary practice located at 206 S Matson St , Kershaw SC 29067-1506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koon, James Fletcher can be contacted via phone (803) 475-1156.

Contact Information

Primary practice address
206 S Matson St Kershaw SC 29067-1506
Phone: (803) 475-1156
Fax: (803) 475-1128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18339 South Carolina

Profile Details

NPI number 1093792608
LBN Legal business name Koon, James Fletcher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Aug 5th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093792608 NPPES
South Carolina Other 080179118 RETIRED RR MEDICARE
South Carolina Other 000000229650 RETIRED RR MEDICARE
South Carolina Other 5532095 RETIRED RR MEDICARE
South Carolina Other 8874326 RETIRED RR MEDICARE
South Carolina MEDICAID T24079 RETIRED RR MEDICARE
South Carolina Other 01153584 RETIRED RR MEDICARE
South Carolina Other 20071782 RETIRED RR MEDICARE
South Carolina Other 21149333031 RETIRED RR MEDICARE
South Carolina Other A8973 RETIRED RR MEDICARE
South Carolina Other 3091345 RETIRED RR MEDICARE
South Carolina Other 0141069 RETIRED RR MEDICARE

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