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Individual

DR. SHIXIONG LIAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1709 DUNKIRK DR, CHARLOTTE, NC 28203-4303
(843) 737-7468
Mailing address
1709 DUNKIRK DR, CHARLOTTE, NC 28203-4303

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036.172795
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
24005
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036.172795
ILLINOIS MEDICAL LICENSE #
IL
01
2012-02070
MEDICAL LICENSE
NC
01
24005
SC MEDICAL LICENSE#
SC
01
70136
MEDICAL LICENSE
GA
05
T80141
SC
Enumeration date
04/12/2006
Last updated
04/22/2025
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