Individual
JEAN MARIE KOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9604 HOLLY POINT DR, HUNTERSVILLE, NC 28078-4913
(704) 316-5070
(704) 316-5075
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5070
(704) 316-5075
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
16461
AL
207N00000X
Dermatology Physician
Primary
200401086
NC
207N00000X
Dermatology Physician
26801
SC
207N00000X
Dermatology Physician
40129
GA
207N00000X
Dermatology Physician
MD-045779-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904489
—
NC
05
—
N0108A
—
SC
Enumeration date
07/31/2006
Last updated
02/20/2013
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