Individual ProviderDavid LiuHospitalistAllopathic & Osteopathic PhysiciansPractice Address450 Northside Cherokee Blvd, Canton, GA 30115-8015(770) 224-1000(440) 364-2609PECOS EnrollmentBased on the most recent information from CMS, provider David Liu is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1235584566Provider TypeIndividualFull NameLiu, DavidTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date4/23/2016Last Updated1/9/2020Contact InformationPractice LocationPractice Address450 Northside Cherokee Blvd, Canton, GA 30115-8015Phone(770) 224-1000Fax(770) 224-2451Mailing LocationMailing Address1364 Clifton Rd NE, Atlanta, GA 30322-1059Phone(440) 364-2609FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208M00000XPrimaryDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense83352GeorgiaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense83352GeorgiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer