Healthcare Provider Details

I. General information

NPI: 1598365538
Provider Name (Legal Business Name): HYUNG WOOK CHOI PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: BRIAN CHOI PHARM D

II. Dates (important events)

Enumeration Date: 10/29/2020
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1232 S HAIRSTON RD
STONE MOUNTAIN GA
30088-2715
US

IV. Provider business mailing address

1414 RUFFNER LN
LAWRENCEVILLE GA
30043-8197
US

V. Phone/Fax

Practice location:
  • Phone: 404-292-5542
  • Fax:
Mailing address:
  • Phone: 678-833-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH031697
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: