Liberty Doctors, Llc

LBN: Liberty Doctors, Llc
Liberty Doctors, Llc is an health care organization with primary practice located at 297 Seven Farms Dr Ste 202 , Daniel Island SC 29492-7553. 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) 936-4470, or through Maynor-Hardy, Sara Elizabeth via phone (843) 225-8320.

Contact Information

Primary practice address
297 Seven Farms Dr Ste 202 Daniel Island SC 29492-7553
Phone: (843) 936-4470
Fax: (843) 256-6877
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 1053954909
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 Oct 23rd, 2019
Last updated Oct 23rd, 2019 - about 5 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 1053954909 NPPES
South Carolina Other A634 MEDICARE PTAN
South Carolina MEDICAID GP6738 MEDICARE PTAN

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