Provider Demographics
NPI:1134462476
Name:NI, LIMING (PHARM D, PH D)
Entity Type:Individual
Prefix:
First Name:LIMING
Middle Name:
Last Name:NI
Suffix:
Gender:M
Credentials:PHARM D, PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4808 BUENA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-5014
Mailing Address - Country:US
Mailing Address - Phone:678-895-4690
Mailing Address - Fax:
Practice Address - Street 1:4808 BUENA VISTA RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-5014
Practice Address - Country:US
Practice Address - Phone:065-699-4397
Practice Address - Fax:706-569-9788
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17227183500000X
GARPH026609183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist