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Individual

LEI LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4904 TIMBER RIDGE DR STE 104, DOUGLASVILLE, GA 30135-1831
(770) 942-4822
Mailing address
4904 TIMBER RIDGE DR STE 104, DOUGLASVILLE, GA 30135-1831
(770) 942-4822

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101279532
VA
208600000X
Surgery Physician
Primary
97805
GA
208600000X
Surgery Physician
FL44448608
GA
208600000X
Surgery Physician
MD.34462
AL

Other

Enumeration date
06/26/2009
Last updated
03/28/2025
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