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DR. CHRISTINE LIQUN BAO M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1831175132
Individual Registrant:DR. CHRISTINE LIQUN BAO M.D.
Gender: F
Sole Proprietor
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
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
Tel: 770-246-6100 Fax: 770-246-6142
Registration Information:
NPI: 1831175132
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 043539 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00753728H | GA | 05 |
