| NPI | 1932523388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBERTY DUKE President 334-220-2484 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD000040964) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TN MD0000040964) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2024-06-21 |