Individual
DAVID KOOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1365 CLIFTON RD NE, 2ND FLOOR, ATLANTA, GA 30322-1013
(404) 778-3307
Mailing address
1365 CLIFTON RD NE, 2ND FLOOR, ATLANTA, GA 30322-1013
(404) 778-3307
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
053255
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014558
BCBS
GA
01
—
2317218
UNITED HEALTHCARE
GA
01
—
3247452
US HEALTHCARE
GA
Enumeration date
08/14/2006
Last updated
07/08/2007
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