| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1376854406 | LIBERTY DOCTORS, LLC | PO BOX 13955 | CHARLESTON | SC | 294223955 | |||
| 1700162203 | LIBERTY DOCTORS LLC | 8761 DORCHESTER RD | CHARLESTON | SC | 294207321 | |||
| 1548240559 | FORNEY | JOHN | JOSEPH | 8761 DORCHESTER RD SUITE 230 | CHARLESTON | SC | 29420 | |
| 1871710152 | HUTCHINS | JOSHUA | CORNELIUS | 295 SEVEN FARMS DR STE C-159 | DANIEL ISLAND | SC | 294928001 | |
| 1518365899 | MEADOR | MELISSA | MARIE | PO BOX 13955 | CHARLESTON | SC | 294223955 |