# LIBERTY DOCTORS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIBERTY DOCTORS LLC
- **Other names:** Charles Towne Pediatrics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558928614
- **Legal business name:** LIBERTY DOCTORS LLC
- **Authorized official:** CHELSEY DEVER (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (843) 225-8320

## Contact information

- **Practice address:** 8761 DORCHESTER RD STE 100, CHARLESTON, SC 29420-7320
- **Practice address phone:** (843) 747-4647
- **Practice address fax:** (843) 745-0969
- **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 |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2019
- **Last updated:** 03/26/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP6738 | — | SC |