Individual
DR. LIEM CHI NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4470 SATELLITE BLVD, SUITE 204, DULUTH, GA 30096-8851
(770) 858-5983
(770) 858-5066
Mailing address
4470 SATELLITE BLVD, SUITE 204, DULUTH, GA 30096-8851
(770) 858-5983
(770) 858-5066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
46219
KY
207Q00000X
Family Medicine Physician
Primary
71544
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003155125A
—
GA
Enumeration date
07/23/2008
Last updated
03/01/2016
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