Individual
DR. JONATHAN JAY LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 VILLAGE HARBOR DR, LAKE WYLIE, SC 29710-9092
(803) 631-2858
(803) 631-2862
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2016-02298
NC
207Q00000X
Family Medicine Physician
Primary
28083
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639103039
—
NC
05
—
280831
—
SC
Enumeration date
07/10/2006
Last updated
06/23/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us