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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285698738 | NPPES |
| Georgia | MEDICAID | 141512294A | |
| Georgia | Other | 511I090013 | |
| Georgia | Other | 52261875-001 |
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