Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | NC | |
Y | 208600000X | Surgeon | NC |
NPI | 1013931302 |
---|---|
Provider Name | Dr. Michael W.a. Chu |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 08/07/2007 |