Koo, Johan
Koo, Johan is an individual health care provider with primary practice located at 108 Prominence Ct Ste 200 , Dawsonville GA 30534-6340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koo, Johan can be contacted via phone (706) 216-3238.Contact Information
Primary practice address
108 Prominence Ct Ste 200
Dawsonville GA 30534-6340
Phone: (706) 216-3238
Fax: (706) 216-5285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 077166 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 77166 | Georgia |
Profile Details
| NPI number | 1114280419 |
|---|---|
| LBN Legal business name | Koo, Johan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2012 |
| Last updated | Oct 9th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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