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Individual

DR. LUCKANA CHAYA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3625 SOPE CREEK FARM SE, MARIETTA, GA 30067-5175
(770) 952-9088
(770) 952-9088
Mailing address
3625 SOPE CREEK FARM SE, MARIETTA, GA 30067-5175
(770) 952-9088
(770) 952-9088

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
16460
GA

Other

Enumeration date
04/02/2006
Last updated
07/08/2007
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