Mr Gary Steven Koller, in Lumpkin, GA - Clinical Nurse Specialist

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.

Contact Information

	Mr Gary Steven Koller,
	76 Holder Road, Lumpkin, GA 31815
	(229) 838-1241
	(229) 838-1242

Provider's Profile

Full Name	Mr Gary Steven Koller
Gender	Male
Speciality	Clinical Nurse Specialist - Family Health
Location	76 Holder Road, Lumpkin, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

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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Mr Gary Steven Koller, - Clinical Nurse Specialist in Lumpkin, GA