Provider Demographics
NPI:1750047064
Name:CHOI, BYOUNGHO PAUL (CHIROPRACTOR)
Entity Type:Individual
Prefix:DR
First Name:BYOUNGHO
Middle Name:PAUL
Last Name:CHOI
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12721 HASHANLI PL
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-4216
Mailing Address - Country:US
Mailing Address - Phone:704-778-7103
Mailing Address - Fax:
Practice Address - Street 1:12721 HASHANLI PL
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4216
Practice Address - Country:US
Practice Address - Phone:704-778-7103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5170111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor