LIBERTY DOCTORS LLC NPI 1063954956

NPI Information

  • NPI: 1063954956
  • Provider Name: LIBERTY DOCTORS LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PATRICIA A CAMPBELL MD
  • CLIA Number: 42D0251086
  • Address: 110A SPRINGHALL DR
    GOOSE CREEK, SC
    ZIP 29445
  • Phone: (843) 225-8304

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NPI Details

LIBERTY DOCTORS LLC is a family medicine in Goose Creek, 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 1063954956. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Patricia A Campbell Md.

The provider's business location address is:

110A SPRINGHALL DR
GOOSE CREEK, SC
ZIP 29445-335
Phone: (843) 225-8304
Fax: (843) 225-3549

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

The CLIA number assigned to this NPI record is 42D0251086 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/9/2016 and was last updated on 11/9/2016.

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 MedicineSOUTH 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
1A634MEDICARE PINSOUTH CAROLINA
2GP6738MEDICAIDSOUTH 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: 11/21/2025

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