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Individual

CHARLOTTE LIN CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
900 W NIFONG BLVD STE 101, COLUMBIA, MO 65203-4469
(573) 499-9009
(573) 499-4400
Mailing address
900 W NIFONG BLVD STE 101, COLUMBIA, MO 65203-4469
(573) 499-9009
(573) 499-4400

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2017016768
MO
207R00000X
Internal Medicine Physician
Primary
2020008238
MO

Other

Enumeration date
06/21/2017
Last updated
08/17/2021
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