Individual
GRETCHEN L KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
980 JOHNSON FERRY RD STE 660, ATLANTA, GA 30342-1608
(404) 847-1592
Mailing address
980 JOHNSON FERRY RD STE 660, ATLANTA, GA 30342-1608
(404) 642-0472
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
59262
GA
207VX0000X
Obstetrics Physician
59262
GA
Other
Enumeration date
11/25/2005
Last updated
05/02/2024
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