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Tinyko Koch

NPI 1417534066 · on the registry since 2021 · sole proprietor

Practice

Address
4046 Water Mill Dr
Buford, GA 30519
Phone
(678) 887-8026
Organisation at this address
Koch Transportation Services
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-28

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