Organization
INTERMED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY H CHANG (MD/PRESIDENT)
(770) 710-5855
Entity
Organization
Contact information
Practice address
6062 BUFORD HWY, SUITE 105-A, NORCROSS, GA 30071-2424
(770) 446-0111
(770) 446-1360
Mailing address
855 PEACHTREE STREET NE, UNIT 2002, ATLANTA, GA 30308-1218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
058952
GA
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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