Mr Gary Steven Koller, is a
Clinical Nurse Specialist - Family Health based in Lumpkin, Georgia. Mr Gary Steven Koller is licensed to practice in Georgia (license number RN218792) and his current practice location is
76 Holder Road, Lumpkin, Georgia. He can be reached at his office (for appointments etc.) via phone at
(229) 838-1241.
NPI number for Mr Gary Steven Koller is 1205258431 and his current mailing address is 79 Holder Road, Lumpkin, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205258431.
Provider's Profile
| Full Name | Mr Gary Steven Koller |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Nurse Specialist - Family Health |
|---|
| Location | 76 Holder Road, Lumpkin, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205258431
- Provider Enumeration Date: 01/07/2014
- Last Update Date: 06/30/2015
Medical Identifiers
Medical identifiers for Mr Gary Steven Koller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205258431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SF0001X | Clinical Nurse Specialist - Family Health | RN218792 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gary Steven Koller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Gary Steven Koller,
79 Holder Road,
Lumpkin, GA 31815
Ph: (229) 838-1241 | Mr Gary Steven Koller,
76 Holder Road,
Lumpkin, GA 31815
Ph: (229) 838-1241 |
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