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Individual

EDWARD T CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MS, MBA

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
60296
KY
207Y00000X
Otolaryngology Physician
Primary
79106
GA
207Y00000X
Otolaryngology Physician
MD17315
HI

Other

Enumeration date
06/06/2012
Last updated
07/08/2025
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