Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL BRENT KOCH, M.D.
Active Sole ProprietorGeneral Acute Care Hospital · SMYRNA, GA
Registration Details
- NPI Number
- 1508900101
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2007 (19.176267658182 yrs)
- Last Updated
- Jul 8, 2007
- License
-
043075 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3949 S COBB DR SESMYRNA, GA, 300806342Browse GA providers · Browse ZIP 30080
- Phone
- 7704385215
- Primary Specialty
-
General Acute Care Hospital
282N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.