Individual
DR. JIE LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D PH.D
Contact information
Practice address
355 TOWER RD NE STE 300, MARIETTA, GA 30060-9408
(770) 427-2457
(770) 427-2706
Mailing address
355 TOWER RD NE STE 300, MARIETTA, GA 30060-9408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52033
CT
207R00000X
Internal Medicine Physician
Primary
77067
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
Enumeration date
06/16/2009
Last updated
10/17/2019
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