| Doctor Name: | DR. BRYANT KWANGMAN KOH |
| NPI Number: | 1598043663 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 072011 |
| Business Practice Address: | 3601 Sw 160th Ave Suite 250 Miramar, FL - 330276308 |
| Business Phone Number: | 8778667123 |
| Business Fax Number: | |
| Mailing Address: | 9710 Foxworth Dr, ALPHARETTA |
| State: | GA |
| Postal Code: | 300227107 |
| Phone Number: | 3473315229 |
| Fax Number: | |
| NPI Enumeration Date: | 07/23/2011 |
| NPI Last Update Date: | 09/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 072011 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |