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Individual

DR. LEWIN GO CHUACHIACO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3650 STEVE REYNOLDS BLVD, DEPT OF INT MED HCTC KAISER PERMANENTE MEDICAL CENTER A, DULUTH, GA 30096-4506
(770) 931-6210
(770) 931-6015
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
046296
GA

Other

Enumeration date
01/12/2007
Last updated
01/13/2022
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