Provider Demographics
NPI:1669665238
Name:CHOE'S MIRACLE ACUPUNCTURE & HERB CENTER
Entity Type:Organization
Organization Name:CHOE'S MIRACLE ACUPUNCTURE & HERB CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JIMONG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LAC
Authorized Official - Phone:770-622-4100
Mailing Address - Street 1:2550 PLEASANT HILL RD
Mailing Address - Street 2:SUITE 417
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-4122
Mailing Address - Country:US
Mailing Address - Phone:770-622-4100
Mailing Address - Fax:770-495-0007
Practice Address - Street 1:2550 PLEASANT HILL RD
Practice Address - Street 2:SUITE 417
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-4122
Practice Address - Country:US
Practice Address - Phone:770-622-4100
Practice Address - Fax:770-495-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty