# HOSPITAL AUTHORITY OF LIBERTY COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Regional Medical Associates Primary Care-Midway Campus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093214041
- **Authorized official:** DEREK ROZIER (CFO)
- **Authorized official phone:** (912) 369-9427

## Contact information

- **Practice address:** 586 ISLANDS HIGHWAY, MIDWAY, GA 31320
- **Mailing address:** PO BOX 919, HINESVILLE, GA 31314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2018
- **Last updated:** 01/06/2022