Healthcare Provider Details

I. General information

NPI: 1285179234
Provider Name (Legal Business Name): HYE MI CHOI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2016
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 EDWARDS FERRY RD NE
LEESBURG VA
20176-3318
US

IV. Provider business mailing address

1200 EDWARDS FERRY RD NE
LEESBURG VA
20176-3318
US

V. Phone/Fax

Practice location:
  • Phone: 334-444-4697
  • Fax:
Mailing address:
  • Phone: 334-444-4697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN188755
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024180546
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: