Individual
DR. TED THOMAS CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
960 JOE FRANK HARRIS PKWY SE, RADIOLOGY DEPT, CARTERSVILLE, GA 30120-2129
(865) 236-1311
(678) 928-9759
Mailing address
PO BOX 200096, CARTERSVILLE, GA 30120-9002
(678) 905-7053
(678) 928-9759
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
071219
GA
2085R0202X
Diagnostic Radiology Physician
48791
TN
2085R0204X
Vascular & Interventional Radiology Physician
071219
GA
Other
Enumeration date
08/26/2008
Last updated
02/19/2020
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