Individual
ANNABELLE NANCY CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA, SUITE 200, CHARLOTTE, NC 28203-5866
(704) 381-8840
(704) 381-8848
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 381-8840
(704) 381-8848
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M2289
TX
2080P0210X
Pediatric Nephrology Physician
Primary
200001356
NC
2080P0210X
Pediatric Nephrology Physician
85276
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982626370
—
NC
05
—
NC1928
—
SC
Enumeration date
07/24/2006
Last updated
09/16/2014
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