Life Wellness Center & Bookstore, L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

059457 Issued in GA

Legal business name

LIFE WELLNESS CENTER & BOOKSTORE, L.L.C.

Practice address

15 Earnest Dr
Suite a
Blairsville, GA 30512-8627

Phone

(706) 745-0200

Fax

(706) 745-0889

NPI assigned

Jan 22, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cynthia Jane Libert, M.D.

Title

Owner

Phone

(706) 745-0200

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1033457239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EARNEST DR",
            "address_2": "SUITE A",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128627",
            "telephone_number": "706-745-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EARNEST DR",
            "address_2": "SUITE A",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128627",
            "telephone_number": "706-745-0200",
            "fax_number": "706-745-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE WELLNESS CENTER & BOOKSTORE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "LIBERT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-745-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "059457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Larsen
• Sven Lailer Legg-Grady, ED.S, LPC, NCC
• Barry J Lewis, PA-C 188832
• Kassidy Lewis, DMD
• Margaret S. Licavoli
• Lifecare Medical Transport LLC
• Linda Ellis, Ma, LPC
• Linda Ellis, Ma, LPC, Inc
• Living Again Psychiatry LLC
• Joe Henry Livingston IV, MD

• All providers in Blairsville, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.