Individual
FABIAN L CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 JAMESTOWN BLVD BLDG 200, WATKINSVILLE, GA 30677-4131
(706) 769-0005
(706) 769-0403
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3740
(706) 389-3951
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
84209
GA
Other
Enumeration date
06/22/2016
Last updated
07/12/2021
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