Licheng Tian is a Internal Medicine in Augusta, Georgia. Licheng Tian practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Licheng Tian is 1588755607. The last update date is 2007-07-08.
Licheng Tian's current location address is 3405 Mike Padgett Hwy, Augusta, Georgia. You can contact this provider via phone number 7067927021 and fax number 7067927138. The mailing address for Licheng Tian is 3405 Mike Padgett Hwy, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Licheng Tian |
|---|---|
| Address | 3405 Mike Padgett Hwy, Augusta, Georgia |
| Phone Number | 7067927021 |
| Fax Number | 7067927138 |
| Sole Proprietor | Y |
| Credentials | MD/PHD |
NPI Number Detail
| NPI Number | 1588755607 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3405 Mike Padgett Hwy |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309063815 |
| Phone Number | 7067927021 |
| Fax Number | 7067927138 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 47853 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique identifier code issued to Licheng Tian by the Centers for Medicare & Medicaid Services (CMS)?
The Licheng Tian has been assigned the NPI (National Provider Identifier) 1588755607. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Licheng Tian?
The Licheng Tian is situated at 3405 Mike Padgett Hwy, in the city of Augusta, state of GA, with the zip code 309063815.
What is the Licheng Tian's specialty and taxonomy code?
The Licheng Tian's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1588755607 to Licheng Tian?
The Centers for Medicare & Medicaid Services assigned the 1588755607 to Licheng Tian on 2006-09-27.
When was the information regarding Licheng Tian most recently updated?
The details pertaining to the Licheng Tian, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.