# LIBERTY DOCTORS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIBERTY DOCTORS, LLC
- **Other names:** Internal Medicine Of Edisto
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033844253
- **Legal business name:** LIBERTY DOCTORS, LLC
- **Authorized official:** CHELSEY DEVER (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (843) 225-8320

## Contact information

- **Practice address:** 134 JUNGLE RD, EDISTO ISLAND, SC 29438-3005
- **Practice address phone:** (843) 897-7757
- **Practice address fax:** (843) 897-7877
- **Mailing address:** PO BOX 13955, CHARLESTON, SC 29422-3955
- **Mailing address phone:** (843) 225-8320
- **Mailing address fax:** (843) 225-3549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2022
- **Last updated:** 12/07/2023