Individual
PAUL CHUKELU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. M.P.H
Contact information
Practice address
4 MEDICAL DR, ELBERTON, GA 30635-1830
(832) 208-7864
Mailing address
4 MEDICAL DR, ELBERTON, GA 30635-1830
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
69782
GA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
069782
GA
208M00000X
Hospitalist Physician
069782
GA
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
06/30/2011
Last updated
02/04/2015
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