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NPI Code Detail

MEDICARE: CHARLOTTE LIN CHANG MD

MEDICARE:   CHARLOTTE LIN CHANG  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2020008238MO
2207R00000XInternal Medicine Physician2017016768MO

General Provider Information

NPI Number : 1578083515
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLOTTE LIN CHANG MD
Provider Business Mailing Address
First Line : 900 W NIFONG BLVD STE 101
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-4469
Country : US
Telephone Number : 573-499-9009
Fax Number : 573-499-4400
Provider Business Practice Location Address
First Line : 900 W NIFONG BLVD STE 101
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-4469
Country : US
Telephone Number : 573-499-9009
Fax Number : 573-499-4400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2017
Last Update Date : 08/17/2021

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Directions to “ CHARLOTTE LIN CHANG MD” Practice Location

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