Individual
CHANGCHUN C WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4319 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-3416
(678) 583-8888
(678) 894-4267
Mailing address
4319 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-3416
(678) 583-8888
(678) 894-4267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
061537
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170144592C
—
GA
Enumeration date
05/23/2007
Last updated
02/08/2018
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