Organization
RONNIE T CHU MD P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY VANN ADAMS (ASSISTANT OFFICE MANAGER/CREDENTIAL)
(334) 289-9982
Entity
Organization
Contact information
Practice address
951 HIGHWAY 80 W, DEMOPOLIS, AL 36732
(334) 289-9982
(334) 287-0479
Mailing address
P O BOX 306, 951 HWY 80 WEST, DEMOPOLIS, AL 36732-3605
(334) 289-9982
(334) 287-0479
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
22641
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529916930
—
AL
01
—
J805
MEDICARE PROVIDER NUMBER
AL
Enumeration date
07/18/2007
Last updated
08/25/2023
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