Individual
SHOU-CHING TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 724-6100
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2603
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
070779
GA
207RX0202X
Medical Oncology Physician
36209
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003138267A
—
GA
05
—
149718
—
AZ
01
—
GA1545
SC MEDICAID
GA
01
—
P00321433
RAILROAD MEDICARE
AZ
Enumeration date
03/21/2006
Last updated
09/19/2014
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