Organization · Type 2 NPI

Liberty Doctors LLC

Family Medicine Physician · Charleston, SC

NPI number 1700162203 Active

Practice location

8761 Dorchester Rd Ste 230
Charleston, SC 29420-7322

Fax (843) 377-8180

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Anatomic Pathology & Clinical Pathology Physician	207ZP0102X	30704 (SC)
Pediatrics Physician	208000000X	None listed
Family Health Clinical Nurse Specialist	364SF0001X	3438 (SC)
Family Health Clinical Nurse Specialist	364SF0001X	1804 (SC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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NPI record

NPI: 1700162203
Entity type: Organization (Type 2)
Issued: Oct 27, 2011
Last updated: Jun 2, 2026
Status: Active

Other names

<unavail>
Mackey Family Practice · doing business as
Mobile Medical Consultants · doing business as
Mobile Medical Consultants · doing business as

Authorized official

Mrs. Lissa C Lara
Chief Executive Officer
(843) 412-1590

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700162203

Liberty Doctors LLC's National Provider Identifier is 1700162203, issued on Oct 27, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Charleston, SC. The record was last updated on Jun 2, 2026.