MEDICARE: DR. DAVID CHOI D.C.

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	111N00000X	Chiropractor	CHIR005996	GA

General Provider Information

NPI Number	:	1174789986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID CHOI D.C.

Provider Business Mailing Address
First Line	:	2244 NORTHWEST PKWY.
Second Line	:	SUITE C
City	:	MARIETTA
State	:	GA
Zip	:	30067
Country	:	US
Telephone Number	:	404-786-5150
Fax Number	:	770-988-8929

Provider Business Practice Location Address
First Line	:	2244 NORTHWEST PKWY.
Second Line	:	SUITE C
City	:	MARIETTA
State	:	GA
Zip	:	30067
Country	:	US
Telephone Number	:	404-786-5150
Fax Number	:	770-988-8929

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

Provider Enumeration Date	:	07/31/2008
Last Update Date	:	10/30/2012

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Directions to “ DR. DAVID CHOI D.C.” Practice Location

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