# LYERLY BAPTIST INC

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

## Provider details

- **NPI number:** 1366262032
- **Authorized official:** CATHERINE HOLLOWAY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (904) 202-5378

## Contact information

- **Practice address:** 836 PRUDENTIAL DR STE 1006, JACKSONVILLE, FL 32207-8337
- **Practice address phone:** (904) 202-1795
- **Practice address fax:** (904) 376-3478
- **Mailing address:** PO BOX 746647, ATLANTA, GA 30374-6647
- **Mailing address phone:** (904) 202-2092
- **Mailing address fax:** (904) 376-4075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2024
- **Last updated:** 10/16/2024