Ryan G Koon
NPI #1720422140 in Florence, South Carolina
Provider Information
- NPI Number
- 1720422140
- Entity Type
- Individual
- Name
- Ryan G Koon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Apr 29, 2013
- Last Updated
- Apr 29, 2013
Practice Location
- Address
- 1430 S CASHUA DR
- City
- Florence
- State
- South Carolina
- ZIP Code
- 29501-6323
- Phone
- (843) 673-0660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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