MEDICARE: DR. GREG KYUHEE CHOI D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3630	OR
2	111N00000X	Chiropractor	CHIR010700	GA

General Provider Information

NPI Number	:	1295708030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREG KYUHEE CHOI D.C.

Provider Business Mailing Address
First Line	:	1325 SATELLITE BLVD NW STE 306
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-4651
Country	:	US
Telephone Number	:	770-863-7233
Fax Number	:	503-419-6068

Provider Business Practice Location Address
First Line	:	1325 SATELLITE BLVD NW STE 306
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-4651
Country	:	US
Telephone Number	:	770-863-7233
Fax Number	:	503-419-6068

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	02/17/2023

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