Johan Koo, DO
Family Medicine in Dawsonville, GA. Individual provider (NPI-1).
NPI number1114280419
StatusActive
Last updated in NPPESOct 9, 2023
Details
- NPI
- 1114280419
- Entity type
- Individual (NPI-1)
- Name
- Johan Koo
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2012
- Certification date
- Oct 9, 2023
- Last updated
- Oct 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 77166 | GA | Yes |
| 207Q00000X | Family Medicine | 077166 | GA |
Practice location
108 Prominence Ct Ste 200Dawsonville, GA 30534-6340
Phone 706-216-3238 · Fax 706-216-5285
Mailing address
Po Box 742616Atlanta, GA 30374-2616
Phone 770-219-8420 · Fax 770-219-8440
Other practice locations
1 Medical Park Blvd
Bristol, TN 37620-7430
Bristol, TN 37620-7430
Phone 423-844-5560 · Fax 423-844-5569
777 Hemlock St
Macon, GA 31201-2102
Macon, GA 31201-2102
Phone 478-633-7550 · Fax 478-633-3235
777 Hemlock St
Macon, GA 31201-2102
Macon, GA 31201-2102
Phone 478-633-7550 · Fax 478-633-3235
73 Maxwell Ln
Dahlonega, GA 30533
Dahlonega, GA 30533
Phone 770-219-9630
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Other Family Medicine Physician providers in Dawsonville, GA
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- Paul J Behrmann, M.D.NPI 1023000643
- Gary C Berliner, MD,MPHNPI 1164564910
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All 26 Family Medicine Physician providers in Dawsonville · All 461 providers in Dawsonville
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