License holder summary

CHONGULIA, TERRY SUPANEE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for CHONGULIA, TERRY SUPANEE, MD is 513 GREAT OAKS DRIVE | SUITE A, Monroe 30655. This doctor license is current. The license was granted 08/08/2003 and expired on 01/31/2017.

Georgia

Composite Medical Board

CHONGULIA, TERRY SUPANEE, MD
Medical - Physician
License number
053640
Date granted
08/08/2003
Date expires
01/31/2017
Class
Medical - Physician
Status
Active
Address
513 GREAT OAKS DRIVE | SUITE A
georgiadoctors.net
ID 38034315
LAST UPDATED 2024-04-19 03:29:16 UTC

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