Liberty Doctors Llc

LBN: Liberty Doctors Llc
Liberty Doctors Llc is an health care organization with primary practice located at 9133 Timber St , North Charleston SC 29406-9075. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Liberty Doctors Llc can be contacted via phone (843) 779-6444, or through Maynor-Hardy, Sara Elizabeth via phone (843) 225-8320.

Contact Information

Primary practice address
9133 Timber St North Charleston SC 29406-9075
Phone: (843) 779-6444
Fax: (843) 779-6438
Website:
Map and Directions
Authorized official contact:
Name: Maynor-Hardy, Sara Elizabeth
Phone: (843) 225-8320

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1760083562
LBN Legal business name Liberty Doctors Llc
DBA Doing business as
Authorized official Maynor-Hardy, Sara Elizabeth
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 6th, 2020
Last updated Nov 6th, 2020 - about 6 years 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 1760083562 NPPES
South Carolina Other A634 MEDICARE PART B
South Carolina MEDICAID GP6738 MEDICARE PART B

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