Carolina Family Medicine
LBN: Liberty Doctors, Llc
Carolina Family Medicine is an health care organization with primary practice located at 100 Springhall Dr , Goose Creek SC 29445-5335. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Liberty Doctors, Llc can be contacted via phone (843) 572-8201, or through Maynor-Hardy, Sara Elizabeth via phone (843) 225-8320.
Contact Information
Primary practice address
100 Springhall Dr
Goose Creek SC 29445-5335
Phone: (843) 572-8201
Fax: (843) 797-8491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 010197 | South Carolina |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | South Carolina |
Profile Details
| NPI number | 1376593350 |
|---|---|
| LBN Legal business name | Liberty Doctors, Llc |
| DBA Doing business as | Carolina Family Medicine |
| Authorized official | Maynor-Hardy, Sara Elizabeth |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Sep 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376593350 | NPPES |
| South Carolina | MEDICAID | GP0189 | |
| South Carolina | MEDICAID | GP6738 | |
| South Carolina | Other | GP0189 |
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