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CAROL NICHOLS & CAROL KOOISTRA NPI 1033207832


NPI Information

NPI: 1033207832
Provider Name: CAROL NICHOLS & CAROL KOOISTRA
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
541 FLOYD RD
SPARTANBURG, SC
ZIP 29307
Phone: (864) 585-6179
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CAROL NICHOLS & CAROL KOOISTRA is a neurology psychiatry neurology in Spartanburg, SC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. CAROL NICHOLS & CAROL KOOISTRA NPI is 1033207832. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

541 FLOYD RD
SPARTANBURG, SC
ZIP 29307-520
Phone: (864) 585-6179

The provider's authorized official is Stephanie Annette Brown .
The authorized official title is Front Office/ Billing and has the following contact phone number (864) 585-6179.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 11/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D90779MEDICARE UPINSOUTH CAROLINA
2GPO487MEDICAIDSOUTH CAROLINA
3B91448MEDICARE UPINSOUTH CAROLINA
42500MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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