Dr. Wayne Carson Koontz
Pediatrician Adolescent Medicine
129 Woodson St
Salisbury
, North Carolina 28144-3255
Dr. Wayne Carson Koontz
Pediatrician Adolescent Medicine
129 Woodson St
Salisbury
, North Carolina 28144-3255
(704) 636-1755
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Wayne Carson Koontz
- 129 Woodson St
- Salisbury, NC
- Zip : 28144-3255
- Fax : (704) 636-1755
- Phone : (704) 636-5576
Second Address
- Dr. Wayne Carson Koontz
- 129 Woodson St
- Salisbury, NC
- Zip : 28144-3255
- Fax : (704) 636-1755
- Phone : (704) 636-5576
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 14494 | NC |
| Y | 2080A0000X | Adolescent Medicine | 14494 | NC |
National Provider Identifier
| NPI | 1013008036 |
|---|---|
| Provider Name | Dr. Wayne Carson Koontz |
| First Address | Salisbury, NC 28144-3255 |
| Second Address | Salisbury, NC 28144-3255 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 12/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F42964 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.