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Individual

DR. GARY A KOCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1516 GREGG ST, COLUMBIA, SC 29201-3530
(803) 254-8143
(803) 779-9782
Mailing address
1516 GREGG ST, COLUMBIA, SC 29201-3530
(803) 254-8143
(803) 779-9782

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
093437
SC
01
570737477
TAX ID#
SC
Enumeration date
01/19/2006
Last updated
09/05/2013
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