Choi, Jong Jin

Choi, Jong Jin is an sole proprietor health care provider with primary practice located at 2060 Northlake Pkwy , Tucker GA 30084-7012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Choi, Jong Jin can be contacted via phone (678) 245-6235.

Contact Information

Primary practice address
2060 Northlake Pkwy Tucker GA 30084-7012
Fax: (770) 710-0925
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD019395E Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 052043 Georgia

Profile Details

NPI number 1295845584
LBN Legal business name Choi, Jong Jin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Nov 30th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295845584 NPPES
Georgia MEDICAID 003131467A

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