<Unavail>

LBN: Liberty Doctors Llc
<Unavail> is an health care organization with primary practice located at 8761 Dorchester Rd Ste 230 , Charleston SC 29420-7322. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Liberty Doctors Llc can be contacted via phone (843) 471-2273, or through Lara, Lissa C via phone (843) 412-1590.

Contact Information

Primary practice address
8761 Dorchester Rd Ste 230 Charleston SC 29420-7322
Phone: (843) 471-2273
Fax: (843) 377-8180
Website:
Map and Directions
Authorized official contact:
Name: Lara, Lissa C
Phone: (843) 412-1590

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X South Carolina
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 30704 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 3438 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 1804 South Carolina

Profile Details

NPI number 1700162203
LBN Legal business name Liberty Doctors Llc
DBA Doing business as <Unavail>
Authorized official Lara, Lissa C
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2011
Last updated Jun 2nd, 2026 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700162203 NPPES
South Carolina Other SC6924A634 MEDICARE PTAN
South Carolina MEDICAID GP6738 MEDICARE PTAN

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