LIBERTY DOCTORS LLC - NPI 1144299470 - Internal Medicine in Moncks Corner, SC

Q: What is Liberty Doctors LLC's NPI number?

The NPI number for Liberty Doctors LLC is 1144299470. It was assigned to this organization in the NPPES registry on March 17, 2006. The provider is doing business as Hope Clinic LLC.

Q: What is Liberty Doctors LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Liberty Doctors Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY DOCTORS LLC (NPI 1144299470), doing business as Hope Clinic Llc, is a healthcare organization registered as an internal medicine in Moncks Corner, South Carolina and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Chelsey Dever, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1144299470

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLIBERTY DOCTORS LLC

Location Address110 EXECUTIVE PKWYMoncks Corner, SC 29461-3930

Mailing Address110 Executive PkwyMoncks Corner, SC 29461-3930 · (843) 408-4171 · Fax (888) 318-5567

Phone(843) 899-9099

Fax(888) 318-5567

Organization SubpartNo

Authorized OfficialChelsey DeverCredentialing Coordinator · (843) 225-8320

Enumeration DateMarch 17, 2006

Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1144299470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in SC · 20234

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

110 EXECUTIVE PKWY, Moncks Corner, SC 29461

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Other Names 1

Doing Business AsHope Clinic Llc

Other Identifiers 2

Other4225947Ncpdp Provider Identification Number

Medicaid202346SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D0998429

Liberty Doctors Dba Hope Clinic Mc · Moncks Corner, SC

Active · expires Jul 1, 2028

CLIA Number42D0998429

Laboratory TypePhysician Office

Certificate Effective DateJuly 2, 2026

Certificate Expiration DateJuly 1, 2028

Laboratory DirectorDr. Temisan L. Etikerentse

Laboratory Phone(843) 899-9099

Laboratory LocationLiberty Doctors Dba Hope Clinic Mc110 Executive Parkway, Moncks Corner, SC 29461

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SVETLANA STUCK PA-C

Physician Assistant