Chang, Sung Kyu

Chang, Sung Kyu is an individual health care provider with primary practice located at 7351 Old Moon Rd , Columbus GA 31909-7291. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Chang, Sung Kyu can be contacted via phone (706) 653-7000.

Contact Information

Primary practice address
7351 Old Moon Rd Columbus GA 31909-7291
Phone: (706) 653-7000
Fax: (706) 653-7800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 52693 Georgia

Profile Details

NPI number 1285698738
LBN Legal business name Chang, Sung Kyu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Oct 17th, 2010 - about 15 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 1285698738 NPPES
Georgia MEDICAID 141512294A
Georgia Other 511I090013
Georgia Other 52261875-001

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