Individual
MR. VEN CHUNG CHIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 COWART AVE, VALDOSTA, GA 31602-2622
(229) 244-6544
(229) 241-9744
Mailing address
P.O. BOX 2267, VALDOSTA, GA 31604
(229) 244-6544
(229) 241-9744
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
054594
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
843869286A
—
GA
Enumeration date
08/24/2006
Last updated
04/09/2012
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