Dr. Fred Daniel Koch, M.D.
Orthopaedic Surgery in Snellville, GA. Individual provider (NPI-1).
NPI number1841202017
StatusActive
Last updated in NPPESAug 13, 2014
Details
- NPI
- 1841202017
- Entity type
- Individual (NPI-1)
- Name
- Dr. Fred Daniel Koch
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2006
- Last updated
- Aug 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 052122 | GA | Yes |
Practice location
1600 Medical WaySuite 150
Snellville, GA 30078-2166
Phone 770-979-9903 · Fax 770-979-7312
Mailing address
1600 Medical WaySuite 150
Snellville, GA 30078-2166
Phone 770-979-9903 · Fax 770-979-7312
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