Individual
MS. DONNA-MARIE KOROMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1690 SKYLYN DR STE 210, SPARTANBURG, SC 29307-1075
(864) 253-8170
(864) 585-7787
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
34405
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344050
—
SC
01
—
AA85275019
MEDICARE
SC
01
—
AA85276084
MEDICARE PIN
SC
Enumeration date
07/30/2006
Last updated
02/01/2021
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