Individual
DR. JAMES FLETCHER KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 S MATSON ST, KERSHAW, SC 29067-1506
(803) 475-1156
(803) 475-1128
Mailing address
206 S MATSON ST, KERSHAW, SC 29067-1506
(803) 475-1156
(803) 475-1128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18339
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000229650
UNISON
SC
01
—
01153584
AMERIGROUP
SC
01
—
0141069
CAROLINA CARE
SC
01
—
080179118
RETIRED RR MEDICARE
SC
01
—
20071782
SELECT HEALTH
SC
01
—
21149333031
BEECHSTREET
SC
01
—
3091345
CIGNA
SC
01
—
5532095
AETNA
SC
01
—
8874326
PPNI
SC
01
—
A8973
MEDCOST
SC
05
—
T24079
—
SC
Enumeration date
12/23/2005
Last updated
08/05/2008
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