Healthcare Provider Details
I. General information
NPI: 1972236453
Provider Name (Legal Business Name): JO-CHING HSIUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/02/2022
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2220 N DRUID HILLS RD NE
ATLANTA GA
30329-3117
US
IV. Provider business mailing address
2220 N DRUID HILLS RD NE
ATLANTA GA
30329-3117
US
V. Phone/Fax
- Phone: 404-785-5437
- Fax:
- Phone: 215-456-7595
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 104457 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: