IndividualActive
Wayne Koontz, M.D.
NPI 1013008036 · Pediatric Adolescent Medicine Physician · Salisbury, NC
Provider details
- NPI number
- 1013008036
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 14494 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
129 Woodson St
Salisbury, NC 28144-3255
Phone: (704) 636-5576
Fax: (704) 636-1755
Approximate (ZIP-level) locationGet directions
Mailing address
129 Woodson St
Salisbury, NC 28144-3255
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2013-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.