Individual
KATHERINE SERAFEN KOONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1911 K M WICKER MEMORIAL DR, SANFORD, NC 27330-5070
(910) 439-9251
Mailing address
1911 K M WICKER MEMORIAL DR, SANFORD, NC 27330-5070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13643
NC
363A00000X
Physician Assistant
9798
GA
Other
Enumeration date
04/23/2019
Last updated
02/02/2026
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