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David T Koon JR., MD
Family Medicine Physician in Summerton, South Carolina
NPI 1619954377

David T Koon JR. is a Family Medicine Physician based in Summerton, SC. David T Koon JR. practices in Summerton, SC and has the professional credentials of MD. The NPI Number for David T Koon JR. is 1619954377 and holds a License No. 19651 (South Carolina).

The current practice location address for David T Koon JR. is 123 Main St, Summerton, SC and can be reached out via phone at 803-485-2240 and via fax at 803-485-2219.

Location: 123 Main St, Summerton, SC, 29148-0010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619954377
Provider Name
David T Koon JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
123 Main St, Summerton, SC, 29148-0010
Phone Number
803-485-2240
Fax Number
803-485-2219
Provider Enumeration Date
12/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7161 01 SC MEDICARE
7382016 01 SC AETNA
A7980 01 SC MEDCOST
0141069 01 SC CAROLINA CARE
196512 05 SC
5161 01 SC COMPANION
institution
Provider Business Practice Location Address Details
Address
123 Main St
City
Summerton
State
South Carolina
Zip
29148
Phone Number
803-485-2240
Fax Number
803-485-2219
person
Provider Business Mailing Address Details
Address
123 Main St
City
Summerton
State
South Carolina
Zip
29148
Phone Number
803-485-2240
Fax Number
803-485-2219
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
19651 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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