Individual
MRS. AMANDA KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
2819 DALLAS ST NW, KENNESAW, GA 30144-2705
(470) 338-3862
(404) 470-9936
Mailing address
2819 DALLAS ST NW, KENNESAW, GA 30144-2705
(470) 338-3862
(404) 470-9936
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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