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DR. CHRISTINE LIQUN BAO M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1831175132

Individual Registrant:
DR. CHRISTINE LIQUN BAO M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
777 W PEACHTREE ST  NORCROSS, GA 30071-1868 US
Tel: 770-246-6100  Fax: 770-246-6142

Contact information for business:
777 W PEACHTREE ST  NORCROSS, GA 30071-1868 US
Tel: 770-246-6100  Fax: 770-246-6142

Registration Information:
NPI: 1831175132
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA043539

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00753728HGA05




HEALTH CARE JOBS GA - Page 1



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