| Liberty Doctors, Llc | |
|
21 Gamecock Ave Charleston SC 29407-3368 | |
| (843) 763-9664 | |
| (843) 763-2949 |
| Full Name | Liberty Doctors, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 21 Gamecock Ave, Charleston, South Carolina |
| Authorized Official Name and Position | Sara Elizabeth Maynor-hardy (CREDINETIALING COORDINATOR) |
| Authorized Official Contact | 8432258320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Doctors, Llc Po Box 13955 Charleston SC 29422-3955 Ph: (843) 225-8304 | Liberty Doctors, Llc 21 Gamecock Ave Charleston SC 29407-3368 Ph: (843) 763-9664 |
| NPI Number | 1689129652 |
|---|---|
| Provider Enumeration Date | 08/19/2016 |
| Last Update Date | 08/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689129652 | NPI | - | NPPES |
| GP6738 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 | |
Carolina Family Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2067 Charlie Hall Blvd, Charleston, SC 29414 Phone: 843-573-2535 | |
Roper Saint Francis Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2450 Fax: 843-724-2455 | |
Liberty Doctors Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2270 Ashley Crossing Dr Ste 155, Charleston, SC 29414 Phone: 843-990-5866 Fax: 843-868-8041 | |
Harold R Nicolette, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 | |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772 | |
Medical University Of South Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Barre St, Charleston, SC 29401 Phone: 901-292-7077 |