Individual
MARY ELIZABETH KOHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNM, WHNP
Contact information
Practice address
3240 AVALON PKWY, CONYERS, GA 30013-6320
(770) 860-1133
(770) 860-1599
Mailing address
3240 AVALON BLVD, CONYERS, GA 30013
(770) 860-1133
(770) 860-1599
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN262760
GA
Other
Enumeration date
01/28/2010
Last updated
07/21/2022
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