Individual
KATHARINE KRISTEN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0006
(703) 349-6077
Mailing address
808 CROSS COURT DR, AUGUSTA, GA 30909-2776
(314) 681-5218
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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