Organization
HANSEN CHANG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGGIE CHANG (OFFICE MANAGER)
(770) 454-9047
Entity
Organization
Contact information
Practice address
4720 PEACHTREE INDUSTRIAL BLVD, NORCROSS, GA 30071-1547
(770) 454-9047
(770) 457-6311
Mailing address
4720 PEACHTREE INDUSTRIAL BLVD, NORCROSS, GA 30071-1547
(770) 454-9047
(770) 457-6311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
041414
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00747843B
—
GA
01
—
303274
WELLCARE
GA
Enumeration date
06/03/2008
Last updated
06/03/2008
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