Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN JAY LIU, MD
ActiveDR. JONATHAN JAY LIU, MD is a Family Medicine healthcare provider located in LAKE WYLIE, South Carolina. NPI 1639103039 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAKE WYLIE, SC
Registration Details
- NPI Number
- 1639103039
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (20.109348644841 yrs)
- Last Updated
- Jun 23, 2022
- Licenses
-
2016-02298 (NC)28083 (SC)
Practice Information
- Address
-
1200 VILLAGE HARBOR DRLAKE WYLIE, SC, 297109092Browse SC providers · Browse ZIP 29710
- Phone
- 8036312858
- Fax
- 8036312862
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LAKE WYLIE, SC
| Name | Credential | NPI |
|---|---|---|
| BENI MFITIDI | MD | 1538796503 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.