| Liberty Doctors, Llc | |
|
1405 Ben Sawyer Blvd Ste 105 Mt Pleasant SC 29464 | |
| (843) 884-8121 | |
| (843) 884-1528 |
| Full Name | Liberty Doctors, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1405 Ben Sawyer Blvd, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Sara Elizabeth Maynor-hardy (CREDENTIALING 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 1405 Ben Sawyer Blvd Ste 105 Mt Pleasant SC 29464 Ph: (843) 884-8121 |
| NPI Number | 1144421330 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 10/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144421330 | NPI | - | NPPES |
| GP6738 | Medicaid | SC | |
| G39291 | Medicaid | SC |
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