Individual
DR. GERALD J LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 HUMPHREYS CENTER, SUITE 200, MEMPHIS, TN 38120
(901) 578-2538
(901) 578-2572
Mailing address
8688 PLAYERS FAIRWAY DRIVE, MEMPHIS, TN 38125
(901) 487-7713
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
14850
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0118522
BLUE CROSS OF TENNESSEE
TN
05
—
107470001
—
AR
05
—
3814020
—
TN
Enumeration date
07/12/2006
Last updated
05/24/2021
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