TERRY SUPANEE CHONGULIA

MONROE, GA
NPI1992800742
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: GA  053640)
Additional Taxonomies173000000X Legal Medicine
(Licence: GA  053640)
Enumeration Date2006-09-14
Last Update Date2016-02-01
Business Address
-- TERRY SUPANEE CHONGULIA M.D.
513 GREAT OAKS DR STE A
MONROE, GA 30655-8211
Phone number: 770-267-8368
Mailing Address
-- TERRY SUPANEE CHONGULIA M.D.
2370 HILLSIDE TRCE
MONROE, GA 30655-5880
Phone number: 770-267-0085