Individual
DR. JEFFREY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1331 N ELM ST, SUITE 200, GREENSBORO, NC 27401-6302
(336) 274-9617
(336) 482-2177
Mailing address
1331 N ELM ST, SUITE 200, GREENSBORO, NC 27401-6302
(336) 274-9617
(336) 482-2177
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2010-00716
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194959056
—
VA
01
—
158HK
BCBS
NC
05
—
5950051
—
NC
01
—
9802504
AETNA
NC
Enumeration date
05/07/2009
Last updated
03/18/2014
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