Basic Information
Provider Information
NPI: 1538152160
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PEJI
FirstName: JOYCE
MiddleName: CHOI
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 550 PEACHTREE ST NE
Address2: STE 1620
City: ATLANTA
State: GA
PostalCode: 303082246
CountryCode: US
TelephoneNumber: 4042579000
FaxNumber: 4048479792
Practice Location
Address1: 980 JOHNSON FY RD NE
Address2: SUITE 820
City: ATLANTA
State: GA
PostalCode: 303421626
CountryCode: US
TelephoneNumber: 4042529307
FaxNumber: 4042525839
Other Information
ProviderEnumerationDate: 08/30/2005
LastUpdateDate: 07/20/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X35-076933POHN Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
207RG0100X061635GAY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

ID Information
IDTypeStateIssuerDescription
P0014400801OHRAILROAD MEDICAREOTHER
04-0948301OHUNITED HEALTHCAREOTHER
00000033400701OHANTHEMOTHER
247379205OH MEDICAID
769161501OHAETNAOTHER


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