Provider Demographics
NPI:1477371441
Name:CHO, JOYCE EUNBEE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:EUNBEE
Last Name:CHO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3429 N DRUID HILLS RD APT J
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-3719
Mailing Address - Country:US
Mailing Address - Phone:912-704-7396
Mailing Address - Fax:
Practice Address - Street 1:5949 BUFORD HWY
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-2472
Practice Address - Country:US
Practice Address - Phone:678-280-6630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA12428363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant