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Individual

DR. LI-KUN OLIVER TU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3294
(678) 312-3282
Mailing address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3294
(678) 312-3282

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
79118
GA
208M00000X
Hospitalist Physician
Primary
79118
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200001317
MEDICAL LICENSE
NC
01
79118
MEDICAL LICENSE
GA
Enumeration date
06/10/2005
Last updated
03/05/2023
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