MICHAEL BRENT KOCH

SMYRNA, GA
NPI1508900101
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy282N00000X General Acute Care Hospital
(Licence: GA  043075)
Enumeration Date2007-02-16
Last Update Date2007-07-08
Business Address
-- MICHAEL BRENT KOCH M.D.
3949 S COBB DR SE
SMYRNA, GA 30080-6342
Phone number: 770-438-5215
Mailing Address
-- MICHAEL BRENT KOCH M.D.
50 LULLWATER ESTATES RD.
ATLANTA, GA 30307
Phone number: 404-378-1864
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