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LIBERTY FAMILY PHYSICIANS NPI 1659775500


NPI Information

NPI: 1659775500
Provider Name: LIBERTY FAMILY PHYSICIANS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1928 WEDDINGTON RD
WEDDINGTON, NC
ZIP 28104
Phone: (704) 844-0505
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LIBERTY FAMILY PHYSICIANS is a family medicine in Weddington, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LIBERTY FAMILY PHYSICIANS NPI is 1659775500. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1928 WEDDINGTON RD
WEDDINGTON, NC
ZIP 28104-318
Phone: (704) 844-0505
Fax: (704) 844-0220

The provider's authorized official is Henry Ronald Emery .
The authorized official title is Ceo and has the following contact phone number (704) 844-0505.

The enumeration date for this NPI number is 10/20/2014 and was last updated on 12/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine205382NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
189134FAMEDICAIDNORTH CAROLINA
2Q0059WMEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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