Chu, Ellica Moore

Chu, Ellica Moore is an individual health care provider with primary practice located at 1412 Milstead Ave Ne , Conyers GA 30012-3877. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Chu, Ellica Moore can be contacted via phone (770) 918-3000.

Contact Information

Primary practice address
1412 Milstead Ave Ne Conyers GA 30012-3877
Fax: (404) 809-4284
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 75764 Georgia

Profile Details

NPI number 1164798385
LBN Legal business name Chu, Ellica Moore
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2012
Last updated Jun 14th, 2016 - about 9 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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