Organization Active NPI

Liberty Sleep Associates, LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Charleston, SC
National Provider Identifier
1750462701
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
LIBERTY SLEEP ASSOCIATES, LLC
Practice address
418 Folly Rd
Suite D
Charleston, SC 29412-2625
Phone
(843) 795-5553
Fax
(843) 795-2262
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Hugh D Durrence, R.PH, M.D.
Title
Managing Member
Phone
(843) 795-5362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

418 Folly Rd
Suite D
Charleston, SC 29412-2625

Mailing address

418 Folly Rd
Suite D
Charleston, SC 29412-2625
Phone (843) 795-5553

Other names 1

  • Liberty Sleep Associates, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

418 Folly Rd
#D
Charleston, SC 29412
Phone (843) 795-5553

418 Folly Rd
Ste D
Charleston, SC 29412
Phone (843) 766-2121

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1750462701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 FOLLY RD",
            "address_2": "SUITE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122625",
            "telephone_number": "843-795-5553",
            "fax_number": "843-795-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 FOLLY RD",
            "address_2": "SUITE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122625",
            "telephone_number": "843-795-5553",
            "fax_number": "843-795-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY SLEEP ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "DURRENCE",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "843-795-5362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "R.PH, M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Sleep Associates, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.