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Organization
DANIEL A KOONTZ
Active
Organization
DANIEL A KOONTZ
Active
Other names
PALMETTO FAMILY MEDICINE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA B KOONTZ (OFFICE MANAGER)
(864) 947-6666
Entity
Organization
Contact information
Practice address
323 LEBBY ST, PELZER, SC 29669-1754
(864) 947-6666
(864) 947-8621
Mailing address
323 LEBBY ST, PELZER, SC 29669-1754
(864) 947-6666
(864) 947-8621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11429
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060035928
MEDICARE RAILROAD
—
05
—
114290
—
SC
Enumeration date
03/06/2007
Last updated
08/18/2008
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