| Carol Nichols & Carol Kooistra | |
|
541 Floyd Rd Spartanburg SC 29307-1520 | |
| (864) 585-6179 | |
| Not Available |
| Full Name | Carol Nichols & Carol Kooistra |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 541 Floyd Rd, Spartanburg, South Carolina |
| Authorized Official Name and Position | Stephanie Annette Brown (FRONT OFFICE/ BILLING) |
| Authorized Official Contact | 8645856179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Nichols & Carol Kooistra 541 Floyd Rd Spartanburg SC 29307-1520 Ph: (864) 585-6179 | Carol Nichols & Carol Kooistra 541 Floyd Rd Spartanburg SC 29307-1520 Ph: (864) 585-6179 |
| NPI Number | 1033207832 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 11/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033207832 | NPI | - | NPPES |
| GPO487 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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