Provider Demographics
NPI:1730101270
Name:CHUA, RAMON A (MD)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:A
Last Name:CHUA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1215 EAGLES LANDING PKWY
Mailing Address - Street 2:STE 205
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7279
Mailing Address - Country:US
Mailing Address - Phone:770-389-9116
Mailing Address - Fax:678-902-9078
Practice Address - Street 1:1215 EAGLES LANDING PKWY
Practice Address - Street 2:STE 205
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7279
Practice Address - Country:US
Practice Address - Phone:770-389-9116
Practice Address - Fax:678-902-9078
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2011-12-13
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Provider Licenses
StateLicense IDTaxonomies
GA055665207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH34569Medicare UPIN