Individual
DR. ANN CELINE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1420 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
(423) 787-5000
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
28817
TN
207R00000X
Internal Medicine Physician
Primary
0101058527
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3829525
—
TN
05
—
3829526
—
TN
01
—
4115226
BLUE CROSS
TN
01
—
4149911
BLUE CROSS
TN
01
—
P00350392
RAILROAD MEDICARE
TN
Enumeration date
06/06/2006
Last updated
11/18/2014
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