MEDICARE: ALEXANDER LIEBER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	94298	SC

General Provider Information

NPI Number	:	1285253278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER LIEBER MD

Provider Business Mailing Address
First Line	:	96 JONATHAN LUCAS ST
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8900
Country	:	US
Telephone Number	:	843-876-0111
Fax Number	:

Provider Business Practice Location Address
First Line	:	2060 SAM RITTENBERG BLVD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-4616
Country	:	US
Telephone Number	:	843-876-0111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2020
Last Update Date	:	03/29/2026

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