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300 W. Front St Liberty SC 29657-1012 | |
| (864) 843-5605 | |
| (864) 843-0096 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 300 W. Front St, Liberty, South Carolina |
| Authorized Official Name and Position | Beverly Merry (OFFICE MANAGER) |
| Authorized Official Contact | 8648435605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
300 W. Front St Liberty SC 29657-1012 Ph: (864) 843-5605 | 300 W. Front St Liberty SC 29657-1012 Ph: (864) 843-5605 |
| NPI Number | 1124279872 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 11/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124279872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Liberty Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W Front St, Liberty, SC 29657 Phone: 864-843-5605 Fax: 864-843-0996 | |