Wu, Changchun C

Wu, Changchun C is an individual health care provider with primary practice located at 4319 Lawrenceville Hwy Nw , Lilburn GA 30047-3416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wu, Changchun C can be contacted via phone (678) 583-8888.

Contact Information

Primary practice address
4319 Lawrenceville Hwy Nw Lilburn GA 30047-3416
Phone: (678) 583-8888
Fax: (678) 894-4267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 061537 Georgia

Profile Details

NPI number 1265642821
LBN Legal business name Wu, Changchun C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Feb 8th, 2018 - about 7 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 1265642821 NPPES
Georgia MEDICAID 170144592C

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