| Liberty Doctors Llc | |
|
9133 Timber St North Charleston SC 29406-9075 | |
| (843) 779-6444 | |
| (843) 779-6438 |
| Full Name | Liberty Doctors Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9133 Timber St, North Charleston, South Carolina |
| Authorized Official Name and Position | Sara Elizabeth Maynor-hardy (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8432258320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Doctors Llc 9133 Timber St North Charleston SC 29406-9075 Ph: (843) 779-6444 | Liberty Doctors Llc 9133 Timber St North Charleston SC 29406-9075 Ph: (843) 779-6444 |
| NPI Number | 1760083562 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 11/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760083562 | NPI | - | NPPES |
| A634 | Other | SC | MEDICARE PART B |
| GP6738 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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