Organization
KOCH TRANSPORTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINYKO KOCH (CEO)
(678) 887-8026
Entity
Organization
Contact information
Practice address
4046 WATER MILL DR STE 500, BUFORD, GA 30519-7269
(678) 887-8026
Mailing address
4046 WATER MILL DR STE 500, BUFORD, GA 30519-7269
(678) 887-8026
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417534066
—
GA
Enumeration date
06/08/2021
Last updated
06/08/2021
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