Liberty Health & Wellness Llc- Fayetteville
NPI #1447812599 in Fayetteville, Tennessee
Provider Information
- NPI Number
- 1447812599
- Entity Type
- Organization
- Organization Name
- Liberty Health & Wellness Llc- Fayetteville
- Primary Specialty
- Preventive Medicine - Addiction Medicine
- Enumeration Date
- Jun 28, 2019
- Last Updated
- Jul 2, 2019
Practice Location
- Address
- 1816 HUNTSVILLE HWY STE C
- City
- Fayetteville
- State
- Tennessee
- ZIP Code
- 37334-3787
- Phone
- (931) 297-2700
Authorized Official
- Name
- ELAINA ANNE MANUELE, RN
- Title
- OWNER/MANAGER
- Phone
- (662) 417-5475
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preventive Medicine - Addiction Medicine — Addiction Medicine |
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