Individual
JESSICA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 EXECUTIVE PARK DR NE # 200, ATLANTA, GA 30329-2206
(404) 727-0010
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 508-7796
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
80709
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2016
Last updated
07/08/2020
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