Individual
DR. ANNA STEPHANIE KOOKOOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 VINECREST CT # 1000, GREENWOOD, SC 29646-8031
(864) 725-3350
(864) 725-3351
Mailing address
104 WELLS AVE, GREENWOOD, SC 29646-3837
(864) 725-4673
(864) 725-7424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT215736
PA
207RP1001X
Pulmonary Disease Physician
Primary
91385
SC
Other
Enumeration date
06/05/2018
Last updated
07/26/2024
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