Individual
ALICE CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-0001
(404) 778-3900
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(845) 239-8647
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
94850
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2019
Last updated
07/16/2023
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