Provider Demographics
NPI:1578652368
Name:WU, ELLEN CHIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:CHIA
Last Name:WU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3525 RIVER TRACE DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-6188
Mailing Address - Country:US
Mailing Address - Phone:404-502-0844
Mailing Address - Fax:
Practice Address - Street 1:4530B S BERKELEY LAKE RD # B
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-1639
Practice Address - Country:US
Practice Address - Phone:770-446-5642
Practice Address - Fax:770-446-5643
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2008-09-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA462862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry