# LIFE WELLNESS CENTER & BOOKSTORE, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033457239
- **Authorized official:** DR. CYNTHIA JANE LIBERT M.D. (OWNER)
- **Authorized official phone:** (706) 745-0200

## Contact information

- **Practice address:** 15 EARNEST DR, SUITE A, BLAIRSVILLE, GA 30512-8627
- **Practice address phone:** (706) 745-0200
- **Practice address fax:** (706) 745-0889
- **Mailing address:** 15 EARNEST DR, SUITE A, BLAIRSVILLE, GA 30512-8627
- **Mailing address phone:** (706) 745-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 059457 | GA | Yes |

## Other

- **Enumeration date:** 01/22/2013
- **Last updated:** 02/13/2015