Organization
DOCTOR LIS FAMILY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HONG LI M.D. (M.D.)
(770) 451-9940
Entity
Organization
Contact information
Practice address
3576 SHALLOWFORD RD NE, STE A, CHAMBLEE, GA 30341-2998
(770) 451-9940
(770) 451-6996
Mailing address
3576 SHALLOWFORD RD NE, STE A, CHAMBLEE, GA 30341-2998
(770) 451-9940
(770) 451-6996
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
045086
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000836569B
—
GA
Enumeration date
01/15/2013
Last updated
01/15/2013
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