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Contact Information

TERRY S CHONGULIA, MD
513 GREAT OAKS DR STE A
MONROE, GA30655-8211
 Phone: 770-267-8368
 Fax: 770-207-0640
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for TERRY S CHONGULIA · (Female)

NPI # 1992800742
Status Active
Credentials MD
Entity Individual
Enumeration date 09/14/2006
Last updated 02/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 053640
  • GA Medicaid 443409802B
  • GA Other 52872342 BC/BS
Hospital affiliation(s)
  • CLEARVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    2151 WEST SPRING STREET
    MONROE, GA 30655
  • EMORY EASTSIDE MEDICAL CENTER - (Acute Care)
    1700 MEDICAL WAY
    SNELLVILLE, GA 30078
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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