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Organization
LYERLY BAPTIST INC
Active
Organization
LYERLY BAPTIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE HOLLOWAY (EXECUTIVE DIRECTOR)
(904) 202-5378
Entity
Organization
Contact information
Practice address
836 PRUDENTIAL DR STE 1006, JACKSONVILLE, FL 32207-8337
(904) 202-1795
(904) 376-3478
Mailing address
PO BOX 746647, ATLANTA, GA 30374-6647
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
NULL
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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