Individual
DR. LICHENG TIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
3405 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 792-7021
(706) 792-7138
Mailing address
758 BRADBERRY CRK, EVANS, GA 30809-4050
(706) 228-4557
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047853
GA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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