Individual
CARMEN JAN LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301
(334) 793-8111
Mailing address
PO BOX 1928, DOTHAN, AL 36302-1928
(334) 712-3635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37227
AL
Other
Enumeration date
06/24/2015
Last updated
08/30/2018
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