Healthcare Provider Details

I. General information

NPI: 1013876234
Provider Name (Legal Business Name): ERIC KYUNGHUN CHO MS, LAT, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 N WESLEYAN BLVD
ROCKY MOUNT NC
27804-8699
US

IV. Provider business mailing address

237 S WINSTEAD AVE APT E1
ROCKY MOUNT NC
27804-3427
US

V. Phone/Fax

Practice location:
  • Phone: 252-985-5305
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: