Provider Demographics
NPI:1255404547
Name:CHANG, SING YE REBECCA (MD)
Entity type:Individual
Prefix:DR
First Name:SING YE
Middle Name:REBECCA
Last Name:CHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-364-7285
Mailing Address - Fax:404-364-4869
Practice Address - Street 1:225 PEACHTREE ST NE
Practice Address - Street 2:SUITE C-08
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-1701
Practice Address - Country:US
Practice Address - Phone:404-589-3630
Practice Address - Fax:770-439-5501
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA054599207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA857665599AMedicaid
GA857665599AMedicaid
08BBSFCMedicare ID - Type Unspecified