Individual
WESLEY LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
67 CREEKSIDE PARK CT, GREENVILLE, SC 29615-4810
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 228-6035
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37736
SC
208600000X
Surgery Physician
T2609
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377363
—
SC
01
—
SC5745
MEDICARE
SC
Enumeration date
07/03/2007
Last updated
06/02/2021
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