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LIVI FAMILY MEDICINE LLC NPI 1407464084


NPI Information

NPI: 1407464084
Provider Name: LIVI FAMILY MEDICINE LLC

Former Legal Business Name: RAILYARD FAMILY MEDICINE LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2225658

Address:
115 GRAYSON INDUSTRIAL PKWY STE 12
GRAYSON, GA
ZIP 30017
Phone: (706) 305-6911
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LIVI FAMILY MEDICINE LLC is a family medicine in Grayson, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LIVI FAMILY MEDICINE LLC NPI is 1407464084. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Railyard Family Medicine Llc.

The provider's business location address is:

115 GRAYSON INDUSTRIAL PKWY STE 12
GRAYSON, GA
ZIP 30017-139
Phone: (706) 305-6911
Fax: (770) 302-0482

The provider's authorized official is Uzoma Ndukwe .
The authorized official title is Physician/co-owner and has the following contact phone number (706) 612-0424.

The CLIA number assigned to this NPI record is 11D2225658 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2020 and was last updated on 5/28/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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: 5/5/2024

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