Provider Demographics
NPI:1174772701
Name:CHO, BYEONGHONG (DC)
Entity type:Individual
Prefix:DR
First Name:BYEONGHONG
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2545 LAWRENCEVILLE HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-3239
Mailing Address - Country:US
Mailing Address - Phone:404-377-1212
Mailing Address - Fax:770-939-9353
Practice Address - Street 1:2545 LAWRENCEVILLE HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-3239
Practice Address - Country:US
Practice Address - Phone:404-377-1212
Practice Address - Fax:770-939-9353
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008681111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor