NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1760083562 |   |   |   | LIBERTY DOCTORS LLC | 9133 TIMBER ST | NORTH CHARLESTON | SC | 294069075 |
1821443896 |   |   |   | LIBERTY DOCTORS, LLC | PO BOX 13955 | CHARLESTON | SC | 294223955 |