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NPI Code Detail

MEDICARE: CHRISTINA CHO PA

MEDICARE:   CHRISTINA  CHO  PA
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
1207Y00000XOtolaryngology Physician11578GA
2363A00000XPhysician Assistant11578GA

General Provider Information

NPI Number : 1093486060
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA CHO PA
Provider Business Mailing Address
First Line : 3732 MEADOW RUE LN
Second Line :
City : PEACHTREE CORNERS
State : GA
Zip : 30092-2228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2001 PEACHTREE RD NE STE 650
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1432
Country : US
Telephone Number : 404-253-3655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2021
Last Update Date : 10/03/2024

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Directions to “ CHRISTINA CHO PA” Practice Location

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