Individual
DR. GLORIA SHOU CHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1305 JENNINGS MILL RD STE 230, WATKINSVILLE, GA 30677
(706) 552-1700
(706) 552-1701
Mailing address
1305 JENNINGS MILL RD STE 230, WATKINSVILLE, GA 30677-7241
(706) 552-1700
(706) 552-1701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
073932
GA
208000000X
Pediatrics Physician
35-121389
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003161817A
—
GA
05
—
0091984
—
OH
Enumeration date
06/03/2010
Last updated
08/28/2018
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