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Individual

DR. THOMAS PAUL CHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
520 TRINITY CREEK CV, CORDOVA, TN 38018-2279
(901) 755-2511
(901) 758-1965
Mailing address
520 TRINITY CREEK CV, CORDOVA, TN 38018-2279
(901) 755-2511
(901) 758-1965

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD0000016690
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0158276
BC/BS PROVIDER #
TN
01
2687986
CIGNA PROVIDER #
TN
01
4263550
AETNA PROVIDER #
TN
Enumeration date
03/10/2006
Last updated
06/10/2010
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