Individual
SCOTT A KLOSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6193
(864) 560-1510
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
872
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008725
—
SC
05
—
0087258
—
SC
01
—
H988953365
MEDICARE PIN
SC
01
—
P01221611
RAILROAD MEDICARE
SC
Enumeration date
05/26/2006
Last updated
01/28/2021
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