Organization
LYERLY BAPTIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILBANKS (CHIEF OPERATING OFFICER)
(904) 376-4275
Entity
Organization
Contact information
Practice address
2736 UNIVERSITY BLVD W, SUITE 3, JACKSONVILLE, FL 32217-2179
(904) 733-4262
(904) 636-5786
Mailing address
2736 UNIVERSITY BLVD W, SUITE 3, JACKSONVILLE, FL 32217-2179
(904) 733-4262
(904) 636-5786
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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