Organization
HOSPITAL AUTHORITY OF LIBERTY COUNTY
Active
Other names
Liberty Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TAMERA P MIMS (CEO)
(912) 369-9400
Entity
Organization
Contact information
Practice address
455 S MAIN ST STE 105, HINESVILLE, GA 31313-4354
(912) 876-5505
(912) 876-5508
Mailing address
455 S MAIN ST STE 105, HINESVILLE, GA 31313-4354
(912) 876-5505
(912) 876-5508
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
09/28/2023
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