Individual provider · Type 1 NPI

Gary Sydney Koech Iii, AGACNP-BC

Acute Care Nurse Practitioner · Atlanta, GA

NPI number 1104463819 Active

Practice location

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Call (404) 712-2000 Map

Mailing address

1339 N Crossing Dr NE
Atlanta, GA 30329-3570

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XRN292038 (GA)
Acute Care Nurse Practitioner Primary 363LA2100XAPRN-NP292038 (GA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1104463819

Gary Sydney Koech Iii, AGACNP-BC's National Provider Identifier is 1104463819, issued on Dec 2, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Atlanta, GA. The record was last updated on Oct 13, 2025.