Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 0401414012 | VA |
N | 213EG0000X | General Practice | 0401414012 | VA |
N | 1223G0001X | General Practice | 15313 | MD |
N | 213EG0000X | General Practice | 15313 | MD |
N | 1223G0001X | General Practice | DS038708 | PA |
N | 213EG0000X | General Practice | DS038708 | PA |
Y | 1223X0400X | Orthodontists | DN016119 | GA |
NPI | 1013201904 |
---|---|
Provider Name | Dr. Daniel Woohyun Cho |
First Address | Johns Creek, GA 30097-5955 |
Second Address | Johns Creek, GA 30097-5955 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2011 |
Last Update Date | 16/08/2020 |