Individual
DR. SUNG KYU CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7351 OLD MOON RD, COLUMBUS, GA 31909-7291
(706) 653-7000
(706) 653-7800
Mailing address
7351 OLD MOON RD, COLUMBUS, GA 31909-7291
(706) 653-7000
(704) 377-3389
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
52693
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141512294A
—
GA
01
—
511I090013
MEDICARE PTAN
GA
01
—
52261875-001
BCBSGA
GA
Enumeration date
04/13/2006
Last updated
10/17/2010
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