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NPI Code Detail

MEDICARE: DR. WILLIAM S KOCH M.D.

MEDICARE: DR. WILLIAM S KOCH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician8889SC

General Provider Information

NPI Number : 1629164942
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM S KOCH M.D.
Provider Business Mailing Address
First Line : 10701 ANDERSON RD
Second Line :
City : EASLEY
State : SC
Zip : 29642-9309
Country : US
Telephone Number : 864-295-2500
Fax Number : 864-295-2506
Provider Business Practice Location Address
First Line : 10701 ANDERSON RD
Second Line :
City : EASLEY
State : SC
Zip : 29642-9309
Country : US
Telephone Number : 864-295-2500
Fax Number : 864-295-2506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 06/22/2015

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Directions to “ DR. WILLIAM S KOCH M.D.” Practice Location

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