Individual provider · NPI-1

Albert Shou-Yen Chang, MD

Surgery · Raleigh, NC

NPI number1619991353
StatusActive
Last updated in NPPESMar 12, 2022

Details

NPI
1619991353
Entity type
Individual (NPI-1)
Name
Albert Shou-Yen Chang
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 26, 2006
Certification date
Mar 12, 2022
Last updated
Mar 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery2009-01835NCYes
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)2009-01835NC
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)057786GA

Practice location

2800 Blue Ridge Rd Ste 300
Raleigh, NC 27607-6476

Phone 919-784-7874

Mailing address

1499 Walton Way
Ste 1400
Augusta, GA 30901-2602

Phone 706-724-6100 · Fax 706-722-5187

Other practice locations

1120 15th St
Augusta, GA 30912-0004

Phone 706-721-3226 · Fax 706-721-7508

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