Chang, Shi Chieh

Chang, Shi Chieh is an sole proprietor health care provider with primary practice located at 5008 Buford Hwy Ste A , Chamblee GA 30341-3531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chang, Shi Chieh can be contacted via phone (770) 451-1146.

Contact Information

Primary practice address
5008 Buford Hwy Ste A Chamblee GA 30341-3531
Fax: (770) 821-1044
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 022396 Georgia

Profile Details

NPI number 1619039476
LBN Legal business name Chang, Shi Chieh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Oct 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619039476 NPPES
Georgia MEDICAID 000312023A

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