| Liberty Mountain Medical Group | |
|
2321 Wards Rd Lynchburg VA 24502-2101 | |
| (434) 582-2273 | |
| (434) 582-1363 |
| Full Name | Liberty Mountain Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2321 Wards Rd, Lynchburg, Virginia |
| Authorized Official Name and Position | Karen L Haynes (STAFF CREDENTIALING MANAGER) |
| Authorized Official Contact | 4343821139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Mountain Medical Group 2321 Wards Rd Lynchburg VA 24502-2101 Ph: (434) 582-2273 | Liberty Mountain Medical Group 2321 Wards Rd Lynchburg VA 24502-2101 Ph: (434) 582-2273 |
| NPI Number | 1043602840 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043602840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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