Individual
LI LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
780 CANTON RD NE STE 400, MARIETTA, GA 30060-7298
(770) 422-3602
Mailing address
780 CANTON RD NE STE 400, MARIETTA, GA 30060-7298
(770) 422-3602
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
83260
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2014
Last updated
10/14/2019
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