Individual
JOHAN KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
108 PROMINENCE CT STE 200, DAWSONVILLE, GA 30534-6340
(706) 216-3238
(706) 216-5285
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(770) 219-8440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
077166
GA
207Q00000X
Family Medicine Physician
Primary
77166
GA
Other
Enumeration date
06/21/2012
Last updated
10/09/2023
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