# LIBERTY REGIONAL MEDICAL CENTER

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

## Provider details

- **NPI number:** 1043875594
- **Authorized official:** ROBERT DEREK ROZIER (CFO)
- **Authorized official phone:** (912) 369-9427

## Contact information

- **Practice address:** 462 ELMA G. MILES PARKWAY, HINESVILLE, GA 31313
- **Practice address phone:** (912) 369-9478
- **Practice address fax:** (800) 611-2089
- **Mailing address:** 462 ELMA G. MILES PARKWAY, HINESVILLE, GA 31313
- **Mailing address phone:** (912) 369-9478
- **Mailing address fax:** (800) 611-2089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2019
- **Last updated:** 11/21/2024