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Individual

HANS CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-2129
(678) 928-9759
(678) 892-8979
Mailing address
PO BOX 200096, CARTERSVILLE, GA 30120-9002
(678) 928-9759
(678) 928-9759

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
00024520
AL
2085R0202X
Diagnostic Radiology Physician
Primary
053685
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009936608
AL
05
161956680
GA
01
30BDNKH
MEDICARE ID
Enumeration date
05/06/2006
Last updated
11/04/2014
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