Individual
MR. DANIEL SCOT KOELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2829 E HIGHWAY 76, MULLINS, SC 29574-6035
(843) 431-2000
Mailing address
420 W CAROLINA AVE, HARTSVILLE, SC 29550-4524
(843) 917-4977
(888) 854-0390
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A590
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21820
—
SC
Enumeration date
03/24/2006
Last updated
11/30/2020
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