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Individual

HA BICH CHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8121 MADISON BLVD STE 101A, MADISON, AL 35758-2082
(256) 325-6499
(256) 325-3195
Mailing address
8121 MADISON BLVD STE 101A, MADISON, AL 35758-2082
(256) 325-6499

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33557
AL
207Q00000X
Family Medicine Physician
4301086071
MI
207Q00000X
Family Medicine Physician
61952
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01285126
AMERIGROUP
GA
05
137805007A
GA
01
509463
WELLCARE
GA
Enumeration date
08/14/2008
Last updated
04/01/2015
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