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NPI Code Detail

MEDICARE: DR. JOSHUA NOLEN KOERNER D.O.

MEDICARE: DR. JOSHUA NOLEN KOERNER D.O.
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 Physician80124GA

General Provider Information

NPI Number : 1770938961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA NOLEN KOERNER D.O.
Provider Business Mailing Address
First Line : 3025 CALF PASTURE DR
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-1393
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 710 CENTER ST
Second Line :
City : COLUMBUS
State : GA
Zip : 31901-1527
Country : US
Telephone Number : 706-571-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2016
Last Update Date : 01/06/2026

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