Organization
BUFORD-NORCROSS PRIMARY CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE LIQUN BAO M.D. (DOCTOR)
(770) 246-6100
Entity
Organization
Contact information
Practice address
777 W PEACHTREE ST, NORCROSS, GA 30071-1868
(770) 246-6100
(770) 246-6142
Mailing address
777 W PEACHTREE ST, NORCROSS, GA 30071-1868
(770) 246-6100
(770) 246-6142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043539
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00753728H
—
GA
Enumeration date
05/12/2008
Last updated
05/12/2008
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