Individual
DR. KURT KLAUBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-5060
(843) 347-3959
Mailing address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-5060
(843) 347-3959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
67129
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003116893A
—
GA
05
—
327877
—
SC
Enumeration date
07/19/2005
Last updated
12/11/2013
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