Jonathan Jay Liu in Lake Wylie - Family Medicine

Jonathan Jay Liu - NPI 1639103039

Jonathan Jay Liu is a Family Medicine in Lake Wylie, South Carolina. Jonathan Jay Liu practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jonathan Jay Liu is 1639103039. The last update date is 2022-06-23.

Jonathan Jay Liu's current location address is 1200 Village Harbor Dr, Lake Wylie, South Carolina. You can contact this provider via phone number 8036312858 and fax number 8036312862. The mailing address for Jonathan Jay Liu is 1200 Village Harbor Dr, Lake Wylie, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Jay Liu
Address 1200 Village Harbor Dr, Lake Wylie, South Carolina
Phone Number 8036312858
Fax Number 8036312862
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1639103039
Provider Enumeration Date 2006-07-10
Last Updated Date 2022-06-23

Provider Mailing Address Detail

Address 1200 Village Harbor Dr
City Lake Wylie
State South Carolina (SC)
Post Code 297109092
Phone Number 8036312858
Fax Number 8036312862

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 2016-02298
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1639103039 NC --
280831 SC --

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FAQs about Jonathan Jay Liu

What is the unique identifier code issued to Jonathan Jay Liu by the Centers for Medicare & Medicaid Services (CMS)?

The Jonathan Jay Liu has been assigned the NPI (National Provider Identifier) 1639103039. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Jonathan Jay Liu is physically located?

The Jonathan Jay Liu is situated at the following address: 1200 Village Harbor Dr, Lake Wylie, SC 297109092.

What is Jonathan Jay Liu's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jonathan Jay Liu's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date was the 1639103039 assigned to Jonathan Jay Liu?

The Jonathan Jay Liu was issued its 1639103039 on 2006-07-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jonathan Jay Liu, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jonathan Jay Liu, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-06-23.

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