Organization
LIFE WELLNESS CENTER & BOOKSTORE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA JANE LIBERT M.D. (OWNER)
(706) 745-0200
Entity
Organization
Contact information
Practice address
15 EARNEST DR, SUITE A, BLAIRSVILLE, GA 30512-8627
(706) 745-0200
(706) 745-0889
Mailing address
15 EARNEST DR, SUITE A, BLAIRSVILLE, GA 30512-8627
(706) 745-0200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
059457
GA
Other
Enumeration date
01/22/2013
Last updated
02/13/2015
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