Healthcare Provider Details

I. General information

NPI: 1003357203
Provider Name (Legal Business Name): DAVID WEI-HAU CHOU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2017
Last Update Date: 08/27/2023
Certification Date: 08/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 DOWNWOOD CIR NW STE 640
ATLANTA GA
30327-1624
US

IV. Provider business mailing address

3200 DOWNWOOD CIR NW STE 640
ATLANTA GA
30327-1624
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-6880
  • Fax:
Mailing address:
  • Phone: 404-778-6880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number316586
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number95867
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: