| Daniel A Koontz | |
|
323 Lebby St Pelzer SC 29669-1754 | |
| (864) 947-6666 | |
| (864) 947-8621 |
| Full Name | Daniel A Koontz |
|---|---|
| Speciality | Family Medicine |
| Location | 323 Lebby St, Pelzer, South Carolina |
| Authorized Official Name and Position | Sandra B Koontz (OFFICE MANAGER) |
| Authorized Official Contact | 8649476666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel A Koontz 323 Lebby St Pelzer SC 29669-1754 Ph: (864) 947-6666 | Daniel A Koontz 323 Lebby St Pelzer SC 29669-1754 Ph: (864) 947-6666 |
| NPI Number | 1912037672 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912037672 | NPI | - | NPPES |
| 114290 | Medicaid | SC | |
| 060035928 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11429 (South Carolina) | Primary |
Best Life Wellness, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Forest Glenn Ct, Pelzer, SC 29669 Phone: 864-341-1152 | |
Anmed Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 Lebby St, Pelzer, SC 29669 Phone: 864-947-6666 Fax: 864-947-8621 |