Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174V00000X | Clinical Ethicist | 277 | GA |
NPI | 1972884815 |
---|---|
Provider Name | Dr. Angela C Liu |
First Address | Duluth, GA 30097-8183 |
Second Address | Alpharetta, GA 30022-4402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2011 |
Last Update Date | 06/09/2011 |