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Organization

LIBERTY DOCTORS LLC

Active
Parent organization
LIBERTY DOCTORS, LLC
Other names
Springhall Family Practice, Patricia A Campbell MD
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
110A SPRINGHALL DR, GOOSE CREEK, SC 29445-5335
(843) 973-8503
(843) 990-5068
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
Primary
016192
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
161924
SC
01
A634
MEDICARE PIN
SC
05
GP6738
SC
Enumeration date
01/05/2017
Last updated
12/15/2025
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