Individual
DR. NIANSEN LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3555 KEITH ST NW, STE 102, CLEVELAND, TN 37312-4375
(423) 728-2282
(423) 728-2234
Mailing address
3555 KEITH ST NW, STE 102, CLEVELAND, TN 37312-4375
(423) 728-2282
(423) 728-2234
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36406
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38783611
—
TN
01
—
4175788
BCBS
—
Enumeration date
06/17/2005
Last updated
12/17/2013
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