Provider Demographics
NPI:1447849138
Name:CHO, GRACE E (DC)
Entity type:Individual
Prefix:DR
First Name:GRACE
Middle Name:E
Last Name:CHO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 PLEASANT HILL RD STE 215
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5863
Mailing Address - Country:US
Mailing Address - Phone:470-299-6859
Mailing Address - Fax:
Practice Address - Street 1:1625 PLEASANT HILL RD STE 215
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5863
Practice Address - Country:US
Practice Address - Phone:470-299-6859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-16
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010467111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor