Individual
DR. CHRISTINE LIQUN BAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
777 W PEACHTREE ST, NORCROSS, GA 30071-1868
(770) 246-6100
(770) 246-6142
Mailing address
777 W PEACHTREE ST, NORCROSS, GA 30071-1868
(770) 246-6100
(770) 246-6142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043539
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00753728H
—
GA
Enumeration date
12/19/2005
Last updated
06/23/2011
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