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1043602840
LIBERTY MOUNTAIN MEDICAL GROUP
LYNCHBURG, VA
NPI
1043602840
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Entity Type
Organization
Authorized Contact
KAREN L HAYNES
Staff Credentialing Manager
434-382-1139
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2015-03-03
Last Update Date
2016-03-30
Business Address
LIBERTY MOUNTAIN MEDICAL GROUP
2321 WARDS RD
LYNCHBURG, VA 24502-2101
Phone number: 434-582-2273
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Mailing Address
LIBERTY MOUNTAIN MEDICAL GROUP
2321 WARDS RD
LYNCHBURG, VA 24502-2101
Phone number: 434-582-2273
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