LIBERTY DOCTORS LLC NPI 1760083562

NPI Information

LIBERTY DOCTORS LLC is a family medicine in North Charleston, SC. 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 DOCTORS LLC NPI is 1760083562. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9133 TIMBER ST
NORTH CHARLESTON, SC
ZIP 29406-075
Phone: (843) 779-6444
Fax: (843) 779-6438

The provider's authorized official is Sara Elizabeth Maynor-hardy .
The authorized official title is Credentialing Manager and has the following contact phone number (843) 225-8320.

The CLIA number assigned to this NPI record is 42D1033214 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2020 and was last updated on 11/6/2020.

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:

Other Identifiers

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