Individual
MRS. GRACE CHUA LOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 HIGHWAY 138 SW STE A, CONYERS, GA 30094-3929
(770) 602-2970
(404) 367-6982
Mailing address
2800 HIGHWAY 138 SW STE A, CONYERS, GA 30094-3929
(770) 602-2970
(404) 367-6982
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51975
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00973035A
—
GA
Enumeration date
10/04/2006
Last updated
03/26/2019
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