Liberty Mountain Medical Group

NPI #1043602840 in Lynchburg, Virginia

Provider Information

NPI Number: 1043602840
Entity Type: Organization
Organization Name: Liberty Mountain Medical Group
Subpart: Yes (part of a larger organization)
Parent Organization: CENTRAL VIRGINIA FAMILY PHYSICIANS, INC.
Primary Specialty: Family Medicine
Enumeration Date: Mar 3, 2015
Last Updated: Mar 30, 2016

Practice Location

Address: 2321 WARDS RD
City: Lynchburg
State: Virginia
ZIP Code: 24502-2101
Phone: (434) 582-2273

Authorized Official

Name: KAREN L HAYNES
Title: STAFF CREDENTIALING MANAGER
Phone: (434) 382-1139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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