Individual
BAOGANG LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1177 N ROAD ST, ELIZABETH CITY, NC 27909-3388
(252) 384-2560
(252) 384-9997
Mailing address
1177 N ROAD ST, ELIZABETH CITY, NC 27909-3388
(252) 337-9440
(252) 384-9997
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101269649
VA
208600000X
Surgery Physician
Primary
2015-02508
NC
2086X0206X
Surgical Oncology Physician
0101250133
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
06/23/2008
Last updated
12/06/2023
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