Provider Demographics
NPI:1689625774
Name:HWANG, CHA-YI (DC)
Entity Type:Individual
Prefix:DR
First Name:CHA-YI
Middle Name:
Last Name:HWANG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:TERRESA
Other - Middle Name:
Other - Last Name:HWANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:845 SPRING ST NW UNIT 216
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-1044
Mailing Address - Country:US
Mailing Address - Phone:770-630-8260
Mailing Address - Fax:
Practice Address - Street 1:500 AMSTERDAM AVE NE STE R
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-3470
Practice Address - Country:US
Practice Address - Phone:678-205-2313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO07210111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor