Individual provider · Type 1 NPI

Mark Jesse Chang, MD

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1346982816 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

1315 Creekshire Way Apt 342
Winston Salem, NC 27103-4046

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346982816

Mark Jesse Chang, MD's National Provider Identifier is 1346982816, issued on Apr 13, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 13, 2022.