Chu, Roy

Chu, Roy is an individual health care provider with primary practice located at 80 Interstate South Dr Ste B, Jasper GA 30143-6226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Chu, Roy can be contacted via phone (706) 692-9081.

Contact Information

Primary practice address
80 Interstate South Dr Ste B Jasper GA 30143-6226
Fax: (706) 692-0155
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 052542 Georgia

Profile Details

NPI number 1467414359
LBN Legal business name Chu, Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated May 22nd, 2008 - about 18 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 1467414359 NPPES
Georgia MEDICAID 562466025A

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