Provider Demographics
NPI:1669635355
Name:LIU, HERRY ZHI
Entity Type:Individual
Prefix:
First Name:HERRY
Middle Name:ZHI
Last Name:LIU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4932 BUFORD HWY
Mailing Address - Street 2:
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-3530
Mailing Address - Country:US
Mailing Address - Phone:770-452-8783
Mailing Address - Fax:770-458-3777
Practice Address - Street 1:4932 BUFORD HWY
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-3530
Practice Address - Country:US
Practice Address - Phone:770-452-8783
Practice Address - Fax:770-458-3777
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA40171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist