Individual
RONALD LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301086099
MI
208M00000X
Hospitalist Physician
Primary
059824
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881717775
—
AL
05
—
379292941A
—
GA
Enumeration date
04/07/2007
Last updated
10/06/2020
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