Individual
GREGORY DANIEL KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7000
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0722343
GA
207P00000X
Emergency Medicine Physician
Primary
38870
SC
207P00000X
Emergency Medicine Physician
AP1180885-146
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2011
Last updated
03/17/2018
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