Individual
GRACE LIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 E HOSPITAL STREET, HOSPITALIST DEPARTMENT, MANNING, SC 29102
(803) 435-8463
(803) 435-5288
Mailing address
PO BOX 550, ATTN: CREDENTIALING, MANNING, SC 29102-0550
(803) 435-5248
(803) 435-5288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TL31688
SC
208M00000X
Hospitalist Physician
Primary
31688
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31688
LICENSE
SC
Enumeration date
06/04/2009
Last updated
07/06/2015
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