Individual
DR. CRAIG LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 NELSON BLVD, KINGSTREE, SC 29556-2662
(843) 355-5353
(843) 355-5357
Mailing address
400 NELSON BLVD, KINGSTREE, SC 29556-2662
(843) 355-5353
(843) 355-5357
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
17138
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171389
—
SC
Enumeration date
08/12/2005
Last updated
07/01/2015
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