Individual
CHANG KON JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 CHRISTINE AVE, ANNISTON, AL 36207-5710
(256) 236-5631
(256) 236-5637
Mailing address
PO BOX 2127, ANNISTON, AL 36202-2127
(256) 236-5631
(256) 236-5637
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
00006505
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3610078
UNITED HEALTHCARE
AL
Enumeration date
07/23/2006
Last updated
04/16/2008
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