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Individual

PETER QINGQI JIANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D

Contact information

Practice address
1831 5TH AVE, COLUMBUS, GA 31904-8915
(706) 320-8780
(706) 320-8721
Mailing address
1831 5TH AVE, COLUMBUS, GA 31904
(706) 320-8780

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301075266
MI
207RH0003X
Hematology & Oncology Physician
59981
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
488418310
MI
01
700H262220
BLUE CROSS-BLUE CROSS
01
PJ075266
COMMERCIAL-COMMERCIAL NUMBER
Enumeration date
08/05/2006
Last updated
12/26/2007
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