| NPI | 1750462701 |
|---|---|
| Former Legal Business Name | LIBERTY SLEEP ASSOCIATES, LLC |
| Entity Type | Organization |
| Authorized Contact | HUGH D DURRENCE Managing Member 843-795-5362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-01-10 |