Search › Georgia › 364SF0001X
Gary Koller
NPI 1205258431 · on the registry since 2014 · sole proprietor
Practice
- Address
- 76 Holder Road
Lumpkin, GA 31815 - Phone
- (229) 838-1241
- Fax
- (229) 838-1242
Registry record
- Primary taxonomy
- 364SF0001X
364SF0001X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia