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NPI Code Detail

MEDICARE: MIN GI CHO

MEDICARE: MIN GI CHO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1700723061
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIN GI CHO
Provider Business Mailing Address
First Line : 4593 LAWRENCEVILLE RD
Second Line :
City : LOGANVILLE
State : GA
Zip : 30052-7320
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4593 LAWRENCEVILLE RD
Second Line :
City : LOGANVILLE
State : GA
Zip : 30052-7320
Country : US
Telephone Number : 770-466-8672
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ MIN GI CHO ” Practice Location

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