Individual
DR. ELLICA MOORE CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3000
(404) 809-4284
Mailing address
235 PEACHTREE ST NE, SUITE 2100, ATLANTA, GA 30303-1401
(770) 994-9326
(404) 809-4284
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
75764
GA
Other
Enumeration date
04/02/2012
Last updated
06/14/2016
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