Tiffany Pediatrics

LBN: Liberty Doctors, Llc
Tiffany Pediatrics is an health care organization with primary practice located at 215 Town Creek Rd , Aiken SC 29803-5843. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Liberty Doctors, Llc can be contacted via phone (803) 508-7651, or through Maynor-Hardy, Sara Elizabeth via phone (843) 225-8320.

Contact Information

Primary practice address
215 Town Creek Rd Aiken SC 29803-5843
Fax: (803) 508-7655
Website:
Authorized official contact:
Name: Maynor-Hardy, Sara Elizabeth

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X South Carolina

Profile Details

NPI number 1588119556
LBN Legal business name Liberty Doctors, Llc
DBA Doing business as Tiffany Pediatrics
Authorized official Maynor-Hardy, Sara Elizabeth
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 19th, 2016
Last updated Aug 19th, 2016 - about 8 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 1588119556 NPPES
South Carolina MEDICAID GP6738

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