Individual
DR. DONNIE KOONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 560-7135
Mailing address
11648 JAMES RICHARD DR, CHARLOTTE, NC 28277-4008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2815
NC
Other
Enumeration date
03/11/2024
Last updated
12/04/2024
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