Provider Demographics
NPI:1437199650
Name:LIU, DEBRA CHIH-FEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:CHIH-FEN
Last Name:LIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:725 HIGHLAND OAKS DR
Mailing Address - Street 2:STE 106
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103
Mailing Address - Country:US
Mailing Address - Phone:336-768-2180
Mailing Address - Fax:336-768-8031
Practice Address - Street 1:725 HIGHLAND OAKS DR
Practice Address - Street 2:STE 106
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103
Practice Address - Country:US
Practice Address - Phone:336-768-2180
Practice Address - Fax:336-768-8031
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2012-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC28663207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC203559DMedicare PIN