Individual
DR. RONNIE T CHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
105 US HIGHWAY 80 E, SUITE 215, DEMOPOLIS, AL 36732-3605
(334) 289-9982
(334) 287-0479
Mailing address
105 US HIGHWAY 80 E, SUITE 215, DEMOPOLIS, AL 36732-3605
(334) 295-4000
(334) 295-4008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22641
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009930115
—
AL
05
—
009930125
—
AL
01
—
51517216
BCBSAL LINDEN
AL
01
—
51517217
BCBSAL DEMOPOLIS
AL
Enumeration date
06/07/2006
Last updated
06/10/2014
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