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Liberty Doctors, Llc
Family Medicine Physician in Goose Creek, South Carolina
NPI 1376593350

Liberty Doctors, Llc is a Family Medicine Physician based in Charleston, SC. Liberty Doctors, Llc practices in Goose Creek, SC. The NPI Number for Liberty Doctors, Llc is 1376593350 and holds a License No. 010197 (South Carolina).

The current practice location address for Liberty Doctors, Llc is 100 Springhall Dr, Goose Creek, SC and can be reached out via phone at 843-572-8201 and via fax at 843-797-8491. You can also correspond with Liberty Doctors, Llc through the mailing address at PO BOX 13955, CHARLESTON, SC - 29422-3955 (mailing address contact number: 843-225-8304).

Location: 100 Springhall Dr, Goose Creek, SC, 29422-3955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376593350
Provider Name
Liberty Doctors, Llc
Credential
Provider Entity Type
Organization
Address
100 Springhall Dr, Goose Creek, SC, 29422-3955
Phone Number
843-572-8201
Fax Number
843-797-8491
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP0189 05 SC
GP6738 05 SC
GP0189 01 SC MEDICAID GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
100 Springhall Dr
City
Goose Creek
State
South Carolina
Zip
29445-5335
Phone Number
843-572-8201
Fax Number
843-797-8491
person
Provider Business Mailing Address Details
Address
100 Springhall Dr
City
Goose Creek
State
South Carolina
Zip
29445-5335
Phone Number
843-572-8201
Fax Number
843-797-8491
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
010197 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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