Organization
CAROLINA NEUROLOGY OF SPARTANBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL KOOISTRA MD (PHYSICIAN)
(864) 585-6179
Entity
Organization
Contact information
Practice address
541 FLOYD RD, SPARTANBURG, SC 29307-1520
(864) 585-6179
(864) 585-5403
Mailing address
541 FLOYD RD, SPARTANBURG, SC 29307-1520
(864) 585-6179
(864) 585-5403
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
13349
SC
Other
Enumeration date
01/16/2013
Last updated
03/27/2020
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