Individual
FENGQI LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 FREEDOM WAY, PRIMARY CARE SERVICE LINE, PCT-C, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
5816 CARRIAGE HILLS DR, MARTINEZ, GA 30907-8226
(706) 869-8117
(706) 869-8117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
GA 055765
GA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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