Organization
MARCIE L. KOONTZ O.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIE L KOONTZ O.D. (OWNER)
(814) 442-0437
Entity
Organization
Contact information
Practice address
8180 S TRYON ST, CHARLOTTE, NC 28273-3325
(704) 588-8609
(704) 588-8043
Mailing address
333 W TRADE ST, SUITE 1201, CHARLOTTE, NC 28202-1944
(814) 442-0437
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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