Individual
FREDRICK ARTHUR KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 N BARTOW ST, NASHVILLE, GA 31639-1435
(229) 686-2774
(229) 543-1348
Mailing address
PO BOX 0070, VALDOSTA, GA 31603-0070
(229) 433-8741
(229) 543-7120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
055535
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453778874C
—
GA
Enumeration date
09/20/2005
Last updated
07/06/2018
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