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Organization
LIBERTY DOCTORS, LLC
Active
Organization
LIBERTY DOCTORS, LLC
Active
Parent organization
LIBERTY DOCTORS, LLC
Other names
Tiffany Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERTY DOCTORS, LLC
Authorized official
CHELSEY DEVER (CREDENTIALING COORDINATOR)
(843) 225-8320
Entity
Organization
Contact information
Practice address
215 TOWN CREEK RD, AIKEN, SC 29803-5843
(803) 508-7651
(803) 508-7655
Mailing address
PO BOX 13955, CHARLESTON, SC 29422-3955
(843) 225-8304
(843) 225-3549
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6738
—
SC
Enumeration date
08/19/2016
Last updated
12/15/2025
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