Individual
DR. SANDY LIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8613 MS HIGHWAY 12, ACKERMAN, MS 39735-8917
(662) 285-4400
Mailing address
8613 MS HIGHWAY 12, ACKERMAN, MS 39735-8917
(662) 285-4400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24038
MS
207Q00000X
Family Medicine Physician
Primary
24038
MS
207Q00000X
Family Medicine Physician
A141935
CA
208M00000X
Hospitalist Physician
24038
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08506761
—
MS
Enumeration date
06/23/2014
Last updated
06/28/2019
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