Individual
HEATHER KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 EXECUTIVE PARK S STE 300, ATLANTA, GA 30329-2287
(404) 727-5910
Mailing address
8282 CANOPY TER, PARKLAND, FL 33076-4493
(704) 578-1094
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
11/12/2025
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