Individual
DR. ALBERT FREDERICK KOCH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
353 NEW SHACKLE ISLAND RD STE 300C, HENDERSONVILLE, TN 37075-2384
(615) 824-0043
(615) 822-1690
Mailing address
353 NEW SHACKLE ISLAND RD STE 300C, HENDERSONVILLE, TN 37075-2384
(615) 824-0043
(615) 822-1690
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD25789
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00411292
RAILROAD MEDICARE
OR
05
—
213361
—
OR
Enumeration date
08/01/2006
Last updated
01/24/2022
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