Individual
DR. JUSTIN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4720 PEACHTREE INDUSTRIAL BLVD, STE 206, NORCROSS, GA 30071-5735
(770) 300-0559
(770) 300-9176
Mailing address
4720 PEACHTREE INDUSTRIAL BLVD, STE 206, NORCROSS, GA 30071-5735
(770) 300-0559
(770) 300-9176
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
001753
GA
152WC0802X
Corneal and Contact Management Optometrist
001753
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000980735A
—
GA
Enumeration date
08/29/2005
Last updated
07/28/2008
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