Chu, Gloria Shou

Chu, Gloria Shou is an individual health care provider with primary practice located at 1305 Jennings Mill Rd Ste 230 , Watkinsville GA 30677. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chu, Gloria Shou can be contacted via phone (706) 552-1700.

Contact Information

Primary practice address
1305 Jennings Mill Rd Ste 230 Watkinsville GA 30677
Phone: (706) 552-1700
Fax: (706) 552-1701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 073932 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35-121389 Ohio

Profile Details

NPI number 1770803470
LBN Legal business name Chu, Gloria Shou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2010
Last updated Aug 28th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770803470 NPPES
Georgia MEDICAID 003161817A
Georgia MEDICAID 0091984

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