Organization
LIBERTY FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY RONALD EMERY JR. M.D. (CEO)
(704) 844-0505
Entity
Organization
Contact information
Practice address
1928 WEDDINGTON RD, WEDDINGTON, NC 28104-8318
(704) 844-0505
(704) 844-0220
Mailing address
1928 WEDDINGTON RD, WEDDINGTON, NC 28104-8318
(704) 844-0505
(704) 844-0220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
205382
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89134FA
—
NC
05
—
Q0059W
—
SC
Enumeration date
10/20/2014
Last updated
12/14/2017
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