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Individual

DR. SUNG KYU CHANG

Active
Find providers by NPI
Individual

DR. SUNG KYU CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
52693
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141512294A
—
GA
01
—
511I090013
MEDICARE PTAN
GA
01
—
52261875-001
BCBSGA
GA
Enumeration date
04/13/2006
Last updated
10/17/2010
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