NPI 1720422140

Ryan G Koon

Practitioner Substance Abuse Rehabilitation Facility Florence, SC

Practice location

Address: 1430 S Cashua Dr, Florence, SC 29501-6323
Phone: (843) 673-0660

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in South Carolina →

Registry record

NPI: 1720422140
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2013
Record last updated: 29 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.