Individual
DR. DONALD JOE KOETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
206 E 2ND NORTH ST, SUMMERVILLE, SC 29483-6858
(843) 851-1037
(843) 851-1392
Mailing address
206 E 2ND NORTH ST, SUMMERVILLE, SC 29483-6858
(843) 851-1037
(843) 851-1392
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC497
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014055
AOA
SC
05
—
DO4975
—
SC
Enumeration date
08/31/2005
Last updated
03/07/2023
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