Individual
KI M CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7165 GETWELL RD BLDG F, SOUTHAVEN, MS 38672-9619
(662) 349-3206
(662) 349-3222
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12991
MS
207R00000X
Internal Medicine Physician
19945
TN
Other
Enumeration date
10/02/2006
Last updated
05/09/2022
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