Individual
DR. CASSIE LAI KU LIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12 W SOUTH ST, MANNING, SC 29102-2925
(803) 433-4321
(803) 433-0075
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30140
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30140
SC STATE LICENSE #
SC
05
—
301408
—
SC
01
—
AA21187566
MEDICARE PTAN
SC
Enumeration date
02/01/2006
Last updated
03/07/2023
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