SONG-CHU KO M.D.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1740205921- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 308 COLISEUM DR STE 100, MACON, GA, 312173889
- Phone
- (478) 742-2278
- Fax
- (671) 645-5549
Specialties & Taxonomies
Unknown
License: IN #01061833A
Unknown
License: GU #M-1915
Unknown
License: AL #MD.51250
Unknown
Primary License: GA #99225