Alicia Anderson (NPI# 1093075269, PAC ID# 7012173065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1093075269 |
| PAC ID by PECOS | 7012173065 |
| Professional Enrollment ID | I20120719000545 |
| Full Name | Alicia Anderson |
| Organization Legal Name | LIBERTY DOCTORS LLC |
| Address |
418 Folly Rd A and B Charleston SC 29412-2625 |
| Phone Number | 8432258320 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0840466017 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| 420049 | CONWAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 418 Folly Rd A and B, Charleston, SC 29412-2625 | 8432258320 | LIBERTY DOCTORS LLC |
| 185 Fresh Dr, Suite A, Myrtle Beach, SC 29579-4436 | 8439453030 | CAROLINA FOREST URGENT CARE LLC |
| Organization Legal Name | LIBERTY DOCTORS LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Svetlana C Stuck | Physician Assistant | Liberty Doctors LLC | 5880 Rivers Ave, North Charleston, SC 29406-6053 |
| Esther Perlmutter | Nurse Practitioner | Liberty Doctors LLC | 21 Gamecock Ave, Charleston, SC 29407-3368 |
| Victoria M Kennedy | Nurse Practitioner | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| John J Forney | Family Medicine | Liberty Doctors LLC | 8761 Dorchester Rd, Suite 230, North Charleston, SC 29420-7322 |
| Allen B Jackson | Internal Medicine | Liberty Doctors LLC | 2175 Ashley Phosphate Rd D, North Charleston, SC 29406-4181 |
| Patricia A Campbell | Family Medicine | Liberty Doctors LLC | 100 Springhall Dr, Goose Creek, SC 29445-5335 |
| Donald P Hurley | Family Medicine | Liberty Doctors LLC | 1483 Tobias Gadson Blvd, Suite 206, Charleston, SC 29407-4796 |
| Jeffrey M Akhtar | Internal Medicine | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Douglas H Gleaton | Family Medicine | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Curtis D Haskins | Family Medicine | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Street Address |
418 FOLLY RD A AND B |
| City | CHARLESTON |
| State | SC |
| Zip | 29412-2625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria M Kennedy | Nurse Practitioner | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Jeffrey M Akhtar | Internal Medicine | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Douglas H Gleaton | Family Medicine | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Curtis D Haskins | Family Medicine | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Amanda U Green | Nurse Practitioner | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Michelle Ann Price | Nurse Practitioner | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Jasmin Leah Seargeant | Physician Assistant | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Tonya Humphreys Lewis | Physician Assistant | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Heather Rose Dawson | Family Medicine | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Edward J Giove | Family Medicine | Liberty Doctors LLC | 418 Folly Rd A and B, Charleston, SC 29412-2625 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Michaud | Chiropractic | 1939 Maybank Hwy, Charleston, SC 29412-2114 | |
| Peter W Kfoury | Chiropractic | 147 Wappoo Creek Dr, Suite 103, Charleston, SC 29412-2122 | |
| Erin Elizabeth Kosak | Nurse Practitioner | Remedy Internal Medicine and Wellness Center P A | 109 Wappoo Creek Dr, 2a, Charleston, SC 29412-2138 |
| Shannon Kennedy | Internal Medicine | Remedy Internal Medicine and Wellness Center P A | 109 Wappoo Creek Dr, 2a, Charleston, SC 29412-2138 |
| Glen Robison | Chiropractic | 1939 Maybank Hwy, Unit C, Charleston, SC 29412-2170 | |
| Barbara S Fox | Clinical Social Worker | 2045 Maybank Hwy, Charleston, SC 29412-2342 | |
| Tu Anh N Khuu | Internal Medicine | Roper Saint Francis Physicians Network | 325 Folly Rd, Suite 101, Charleston, SC 29412-2507 |
| Carolyn A Newton | Nurse Practitioner | Roper Saint Francis Physicians Network | 325 Folly Rd, Suite 101, Charleston, SC 29412-2507 |
| Jessica Walters | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 325 Folly Rd, Suite 107, Charleston, SC 29412-2507 |
| Elizabeth A Murray | Family Medicine | Roper Saint Francis Physicians Network | 325 Folly Rd, Suite 101, Charleston, SC 29412-2507 |
| Find all physicians in zip 29412 | |||
| City | CHARLESTON |
| Zip Code | 29412 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHARLESTON + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.