Individual
DR. DAVID GLENN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
96 JONATHAN LUCAS ST, SUITE 210 CLINICAL SCIENCE BUILDING, P.O. BOX 250327, CHARLESTON, SC 29425-8900
(843) 792-6901
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
26893
SC
207RI0008X
Hepatology Physician
26893
SC
Other
Enumeration date
10/17/2006
Last updated
07/13/2007
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