Provider Demographics
NPI:1053620526
Name:CHOI, WENDY EUN KYOUNG (LAC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:EUN KYOUNG
Last Name:CHOI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5432 BLUE CEDAR DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-6919
Mailing Address - Country:US
Mailing Address - Phone:470-601-2427
Mailing Address - Fax:
Practice Address - Street 1:327 DAHLONEGA ST STE B1803
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-8217
Practice Address - Country:US
Practice Address - Phone:770-284-0507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13898171100000X
GA544171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist