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General NPI Number Information
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NPI Number | 1609002682
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Entity Type | Individual
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Provider Name | GRACE LIANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2009
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Last Update Date | 07/06/2015
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Provider Practice Location Address
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Address Line | 10 E HOSPITAL STREET HOSPITALIST DEPARTMENT
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City | MANNING
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State | SC
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Zip | 29102
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Country | US
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Telephone | 803-435-8463
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Fax | 803-435-5288
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Provider Business Mailing Address
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Address Line | PO BOX 550 ATTN: CREDENTIALING
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City | MANNING
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State | SC
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Zip | 29102-0550
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Country | US
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Telephone | 803-435-5248
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Fax | 803-435-5288
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TL31688
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 31688
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License Number State | SC
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