Individual
ALBERT SHOU-YEN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 BLUE RIDGE RD STE 300, RALEIGH, NC 27607-6476
(919) 784-7874
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
(706) 722-5187
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2009-01835
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
057786
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2009-01835
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
520356376A
—
GA
05
—
G57786
—
SC
01
—
P00423702
RAILROAD MEDICARE
GA
Enumeration date
07/26/2006
Last updated
03/12/2022
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