| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1033844253 | LIBERTY DOCTORS, LLC | PO BOX 13955 | CHARLESTON | SC | 294223955 | |||
| 1063954956 | LIBERTY DOCTORS LLC | 110A SPRINGHALL DR | GOOSE CREEK | SC | 294455335 | |||
| 1053370841 | AKHTAR | JEFFREY | M | PO BOX 13955 | CHARLESTON | SC | 294223955 |