# LIBERTY MEDICAL CLINIC PC

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

## Provider details

- **NPI number:** 1790812956
- **Authorized official:** DR. CHIZOBA N NNAJI DNP, FNP-B.C (ASSISTANT)
- **Authorized official phone:** (731) 663-3530

## Contact information

- **Practice address:** 4937 COLLEGE ST, BELLS, TN 38006-3483
- **Practice address phone:** (731) 663-3530
- **Practice address fax:** (731) 663-3531
- **Mailing address:** 4937 COLLEGE STREET, BELLS, TN 38006-3481
- **Mailing address phone:** (731) 663-3530
- **Mailing address fax:** (731) 663-3531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 0000032096 | TN | — |
| 261QR1300X | Rural Health Clinic/Center | 44-3974 | TN | Yes |
| 363LF0000X | Family Nurse Practitioner | APN0000013147 | TN | — |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 05/08/2017