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Organization

HOSPITAL AUTHORITY OF LIBERTY COUNTY

Active
Other names
Liberty Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
DEREK ROZIER (CFO)
(912) 369-9427
Entity
Organization

Contact information

Practice address
455 S.MAIN STREET STE 105, HINESVILLE, GA 31313
(912) 876-0250
(912) 369-2029
Mailing address
455 S MAIN STREET, SUITE 105, HINESVILLE, GA 31313-4354
(912) 876-0250
(912) 369-2029

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
09/14/2012
Last updated
01/06/2022
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