Individual
NOEL N CHUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 ANDREWS WAY STE B, KINGSLAND, GA 31548-6854
(912) 882-2885
(912) 882-2985
Mailing address
50 HURT PLZ SE, 450 THE HURT BUILDING, ATLANTA, GA 30303-2946
(404) 221-1000
(404) 577-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50143
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50143
STATE MEDICAL LICENSE
GA
Enumeration date
06/25/2007
Last updated
07/09/2007
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