Provider Demographics
NPI:1255002713
Name:MARGARET Y. CHANG, MD LLC
Entity type:Organization
Organization Name:MARGARET Y. CHANG, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-606-5301
Mailing Address - Street 1:1151 HIDDENBROOK LN
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4602
Mailing Address - Country:US
Mailing Address - Phone:678-242-9102
Mailing Address - Fax:
Practice Address - Street 1:88 JOHNSON RD BLDG 2
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-5520
Practice Address - Country:US
Practice Address - Phone:404-369-1907
Practice Address - Fax:404-369-1970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No282E00000XHospitalsLong Term Care Hospital