Individual
DR. SIMON CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2456 SUMMEROAK DR, TUCKER, GA 30084-3453
(706) 810-0065
Mailing address
2887 MALTON WAY, LOGANVILLE, GA 30052-1112
(770) 231-5842
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT016743
GA
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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