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Organization
LIBERTY REGIONAL MEDICAL CENTER
Active
Organization
LIBERTY REGIONAL MEDICAL CENTER
Active
Other names
LIBERTY REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK ROZIER (CFO)
(912) 369-9427
Entity
Organization
Contact information
Practice address
462 E G MILES PKWY, HINESVILLE, GA 31313-4000
(912) 369-9478
(800) 611-2089
Mailing address
462 E G MILES PKWY, HINESVILLE, GA 31313-4000
(912) 369-9478
(800) 611-2089
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
PHRE008347
GA
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013760
PK
—
Enumeration date
07/17/2006
Last updated
11/21/2024
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