Provider Demographics
NPI:1265302582
Name:ANNA CHOS LLC
Entity type:Organization
Organization Name:ANNA CHOS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UZOAMAKA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKONKWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-707-0304
Mailing Address - Street 1:114 CRESCENT WOODE WAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30157-5711
Mailing Address - Country:US
Mailing Address - Phone:404-707-0304
Mailing Address - Fax:
Practice Address - Street 1:795 POWDER SPRINGS ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-3689
Practice Address - Country:US
Practice Address - Phone:404-707-0304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty