Individual
JIALIU DAVID LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 E MEDICAL LN STE 100&200, WEST COLUMBIA, SC 29169-4847
(803) 935-8410
(803) 936-7816
Mailing address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
87926
SC
208VP0014X
Interventional Pain Medicine Physician
Primary
87926
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
12/20/2022
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