Provider Demographics
NPI:1174043541
Name:CHO, WOOHYEON (DAOM LAC)
Entity Type:Individual
Prefix:DR
First Name:WOOHYEON
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:DAOM LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2856 BUFORD HWY STE 6
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-3400
Mailing Address - Country:US
Mailing Address - Phone:404-954-0909
Mailing Address - Fax:
Practice Address - Street 1:2856 BUFORD HWY STE 6
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-3400
Practice Address - Country:US
Practice Address - Phone:404-954-0909
Practice Address - Fax:770-451-7847
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-26
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC15330171100000X
GA427171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist