Individual
CATHERINE MARIE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-5648
(864) 455-7862
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
27778
SC
207RP1001X
Pulmonary Disease Physician
Primary
27778
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277783
—
SC
01
—
57-6007863082
BCBS OF SC
SC
01
—
7913700
AETNA
SC
01
—
P00258736
RR MEDICARE
SC
Enumeration date
05/25/2006
Last updated
03/22/2024
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