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Individual

ZHUOCHENG SU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2069 TERON TRCE STE 100, DACULA, GA 30019-1665
(678) 730-1620
(678) 730-0858
Mailing address
2069 TERON TRCE STE 100, DACULA, GA 30019-1665
(678) 730-1620
(678) 730-0858

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
89005
GA
207R00000X
Internal Medicine Physician
LL52025
SC

Other

Enumeration date
06/15/2018
Last updated
07/08/2021
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