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Individual

DR. HANSEN A. CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4720 PEACHTREE INDUSTRIAL BLVD, S-202, NORCROSS, GA 30071
(770) 454-9047
(770) 457-6311
Mailing address
4720 PEACHTREE INDUSTRIAL BLVD, S-202, NORCROSS, GA 30071
(770) 454-9047
(770) 457-6311

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
041414
GA
207R00000X
Internal Medicine Physician
Primary
041414
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00747843B
GA
Enumeration date
12/13/2006
Last updated
08/13/2008
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