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Contact Information

LIBERTY MEDICAL CLINIC PC
4937 COLLEGE ST
BELLS, TN38006-3483
 Phone: 731-663-3530
 Fax: 731-663-3531
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for LIBERTY MEDICAL CLINIC PC

NPI # 1790812956
LBN Legal business name LIBERTY MEDICAL CLINIC PC
Authorized official CHIZOBA NNAJI - (ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2007
Last updated 05/08/2017 - About 9 years ago
Identifiers
TN License # 0000032096
TN License # 44-3974
TN License # APN0000013147
TN Medicaid 0443974
TN Medicaid 3847625
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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