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1659819563
MARK CHUA
AUGUSTA, GA
NPI
1659819563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA Rn228582)
Enumeration Date
2017-02-11
Last Update Date
2018-09-06
Business Address
MARK CHUA Fnp
3486 PEACH ORCHARD RD STE 100
AUGUSTA, GA 30906
Phone number: 706-828-8000
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Mailing Address
MARK CHUA Fnp
PO BOX 1705
AUGUSTA, GA 30903-1705
Phone number: 706-854-6917
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