MEDICARE: WENDY EUN KYOUNG CHOI L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC13898	CA
2	171100000X	Acupuncturist	544	GA

General Provider Information

NPI Number	:	1053620526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY EUN KYOUNG CHOI L.AC.

Provider Business Mailing Address
First Line	:	5432 BLUE CEDAR DR
Second Line	:
City	:	SUGAR HILL
State	:	GA
Zip	:	30518-6919
Country	:	US
Telephone Number	:	470-601-2427
Fax Number	:

Provider Business Practice Location Address
First Line	:	327 DAHLONEGA ST STE B1803
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30040-8217
Country	:	US
Telephone Number	:	770-284-0507
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2010
Last Update Date	:	06/19/2024

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