| Fabian L Chang, MD | |
|
1020 Jamestown Blvd Bldg 200, Watkinsville, GA 30677-4131 | |
| (706) 769-0005 | |
| (706) 769-0403 |
| Full Name | Fabian L Chang |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1020 Jamestown Blvd Bldg 200, Watkinsville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659722494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 84209 (Georgia) | Primary |
| Entity Name | Northeastern Nevada Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457599458 PECOS PAC ID: 3779649223 Enrollment ID: O20090306000555 |
| Mailing Address | Practice Location Address |
|---|---|
| Fabian L Chang, MD Po Box 48089, Athens, GA 30604-8089 Ph: (706) 389-3740 | Fabian L Chang, MD 1020 Jamestown Blvd Bldg 200, Watkinsville, GA 30677-4131 Ph: (706) 769-0005 |
Dr. Megan Elizabeth Redfern, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1618 Mars Hill Rd Ste B, Watkinsville, GA 30677 Phone: 706-751-6762 | |
Marguerite Theresa Allen Chappell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1020 Jamestown Blvd Bldg 200, Watkinsville, GA 30677 Phone: 706-769-0005 Fax: 706-769-0403 | |
Breana Berry Miller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1618 Mars Hill Rd Ste B, Watkinsville, GA 30677 Phone: 706-705-4543 | |
Dr. Carrie Kelly, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1020 Jamestown Blvd, Bldg 200, Watkinsville, GA 30677 Phone: 706-769-0005 | |
Daphne C Esho, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1020 Jamestown Blvd Bldg 200, Watkinsville, GA 30677 Phone: 706-769-0005 Fax: 706-769-0403 | |
Rachel M Hunt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1020 Jamestown Blvd Bldg 200, Watkinsville, GA 30677 Phone: 706-769-0005 Fax: 706-769-0403 | |
Dr. James Patrick Morrison, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1305 Jennings Mill Rd Ste 230, Watkinsville, GA 30677 Phone: 706-552-1700 |