Organization
LIBERTY DOCTORS, LLC
Active
Parent organization
LIBERTY DOCTORS, LLC
Other names
Internal Medicine Of Edisto
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
134 JUNGLE RD, EDISTO ISLAND, SC 29438-3005
(843) 897-7757
(843) 897-7877
Mailing address
PO BOX 13955, CHARLESTON, SC 29422-3955
(843) 225-8320
(843) 225-3549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
12/07/2023
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