Healthcare Provider Details

I. General information

NPI: 1871589374
Provider Name (Legal Business Name): JASON J CHO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 07/05/2025
Certification Date: 07/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 SOUTH 7TH STREET BLDG 700/700-A 78 MDG
ROBINS AFB GA
31098
US

IV. Provider business mailing address

655 SOUTH 7TH STREET BLDG 700/700-A 78 MDG
ROBINS AFB GA
31098
US

V. Phone/Fax

Practice location:
  • Phone: 478-327-8487
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License NumberMD068203L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD068203L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: