Individual
DR. DAVID EDWIN KOON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PALMETTO HEALTH PKWY STE 201, COLUMBIA, SC 29212-1762
(803) 434-6812
(803) 434-7306
Mailing address
PO BOX 22265, BELFAST, ME 04915-4473
(803) 296-7846
(803) 296-9699
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16729
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0534520001
MEDICARE DME
SC
05
—
167296
—
SC
Enumeration date
04/14/2006
Last updated
03/06/2018
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