Doctor Name: | DR. TIMOTHY HYUNCHAN CHO |
NPI Number: | 1518198399 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101247987 |
Business Practice Address: | Usaarl Fort Rucker, AL - 36362 |
Business Phone Number: | 3342558608 |
Business Fax Number: | |
Mailing Address: | 255 Camden Dr, ENTERPRISE |
State: | AL |
Postal Code: | 36330 |
Phone Number: | 3012045486 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2009 |
NPI Last Update Date: | 02/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101247987 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |