Organization
LIBERTY MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIZOBA N NNAJI DNP, FNP-B.C (ASSISTANT)
(731) 663-3530
Entity
Organization
Contact information
Practice address
4937 COLLEGE ST, BELLS, TN 38006-3483
(731) 663-3530
(731) 663-3531
Mailing address
4937 COLLEGE STREET, BELLS, TN 38006-3481
(731) 663-3530
(731) 663-3531
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
0000032096
TN
261QR1300X
Rural Health Clinic/Center
Primary
44-3974
TN
363LF0000X
Family Nurse Practitioner
APN0000013147
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443974
—
TN
05
—
3847625
—
TN
Enumeration date
02/27/2007
Last updated
05/08/2017
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