Individual
DR. IVAN Z LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-6172
Mailing address
1120 15TH ST # BA3300, AUGUSTA, GA 30912-0006
(706) 721-6172
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16256
GA
Other
Enumeration date
05/29/2023
Last updated
10/30/2024
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