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Individual

DAVID LIEBMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
885 TIGER BLVD, CLEMSON, SC 29631-1480
(864) 654-6800
(864) 654-7672
Mailing address
885 TIGER BLVD, CLEMSON, SC 29631-1480
(864) 654-6800
(864) 654-7672

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19038
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0403518
CAROLINA CARE PLAN
01
110142647
RAILROAD MEDICARE
01
72748
MEDCOST
05
T30712
SC
Enumeration date
04/12/2006
Last updated
01/29/2015
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