| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1417967092 | LIBERTY DOCTORS LLC D/B/A FAMILY FIRST MEDICAL CARE | PO BOX 13955 | CHARLESTON | SC | 294223955 | |||
| 1740959303 | FAMILY FIRST MEDICAL CARE | 2834 AQUADUCT ST | CHARLESTON | SC | 294147410 | |||
| 1881639862 | LIBERTY DOCTORS, LLC | PO BOX 13955 | CHARLESTON | SC | 294223955 | |||
| 1932870318 | TIDEWATER DOCTORS LLC | 2834 AQUADUCT ST | CHARLESTON | SC | 294147410 | |||
| 1992474654 | TIDEWATER DOCTORS LLC | 2834 AQUADUCT ST | CHARLESTON | SC | 294147410 | |||
| 1629147848 | FAIRFAX | AMELIA | C | PO BOX 13955 | CHARLESTON | SC | 294223955 | |
| 1043206410 | HURLEY | DONALD | P | 2834 AQUADUCT ST | CHARLESTON | SC | 294147410 | |
| 1760560288 | SCURRY | JOY | BLANTON | PO BOX 13955 | CHARLESTON | SC | 294223955 |