Individual
LINU CHANDY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
852 DACULA RD, DACULA, GA 30019-3185
(770) 848-9360
(770) 848-9361
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
72376
GA
Other
Enumeration date
06/06/2011
Last updated
12/02/2020
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