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LIVE HEALTHY MD LLC NPI 1447521661


NPI Information

NPI: 1447521661
Provider Name: LIVE HEALTHY MD LLC
Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

Address:
3830 WASHINGTON RD
STE 17
AUGUSTA, GA
ZIP 30907
Phone: (706) 922-0440
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LIVE HEALTHY MD LLC is a preventive medicine/occupational environmental medicine preventive medicine in Augusta, GA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. LIVE HEALTHY MD LLC NPI is 1447521661. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3830 WASHINGTON RD
STE 17
AUGUSTA, GA
ZIP 30907-064
Phone: (706) 922-0440
Fax: (706) 922-0441

The provider's authorized official is Edward H Boland .
The authorized official title is Physician and has the following contact phone number (706) 922-0440.

The enumeration date for this NPI number is 1/19/2012 and was last updated on 1/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine40826GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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