Provider Demographics
NPI:1295708030
Name:CHOI, GREG KYUHEE (DC)
Entity type:Individual
Prefix:DR
First Name:GREG
Middle Name:KYUHEE
Last Name:CHOI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1325 SATELLITE BLVD NW STE 306
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4651
Mailing Address - Country:US
Mailing Address - Phone:770-863-7233
Mailing Address - Fax:503-419-6068
Practice Address - Street 1:1325 SATELLITE BLVD NW STE 306
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-4651
Practice Address - Country:US
Practice Address - Phone:770-863-7233
Practice Address - Fax:503-419-6068
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3630111N00000X
GACHIR010700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor