MEDICARE: CHUNSU JIANG M.D

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207RG0100X	Gastroenterology Physician	PENDING	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750736542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHUNSU JIANG M.D

Provider Business Mailing Address
First Line	:	4150 DEPUTY BILL CANTRELL MEMORIAL RD
Second Line	:	SUITE 2910
City	:	CUMMING
State	:	GA
Zip	:	30040-3002
Country	:	US
Telephone Number	:	404-446-0600
Fax Number	:

Provider Business Practice Location Address
First Line	:	4300 ALTON RD
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2948
Country	:	US
Telephone Number	:	305-674-2121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2016
Last Update Date	:	01/08/2026

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