| NPI | 1144242249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYOUNG S CHO Owner /Partner 276-228-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101012583) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VA 0101023290) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024098505) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024093951) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2019-09-10 |