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1588755607
LICHENG TIAN
AUGUSTA, GA
NPI
1588755607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 047853)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
Dr. LICHENG TIAN MD/PhD
3405 MIKE PADGETT HWY
AUGUSTA, GA 30906-3815
Phone number: 706-792-7021
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Mailing Address
Dr. LICHENG TIAN MD/PhD
758 BRADBERRY CRK
EVANS, GA 30809-4050
Phone number: 706-228-4557
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