Provider Demographics
NPI:1679750368
Name:KOCH, DAVID DONALD (PHD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:DONALD
Last Name:KOCH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:80 JESSE HILL JR. DRIVE
Mailing Address - Street 2:GRADY MEMORIAL HOSPITAL
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303
Mailing Address - Country:US
Mailing Address - Phone:404-616-5489
Mailing Address - Fax:404-616-9913
Practice Address - Street 1:80 JESSE HILL JR. DRIVE
Practice Address - Street 2:GRADY MEMORIAL HOSPITAL
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303
Practice Address - Country:US
Practice Address - Phone:404-616-5489
Practice Address - Fax:404-616-9913
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QC1000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyChemistry