LIVE HEALTHY MD LLC NPI 1447521661

NPI Information

  • NPI: 1447521661
  • Provider Name: LIVE HEALTHY MD LLC
  • Classification: Preventive Medicine - 2083P0500X
  • Specialization: Preventive Medicine/Occupational Environmental Medicine
  • Entity Type: Organization
  • Address: 3830 WASHINGTON RD
    STE 17
    AUGUSTA, GA
    ZIP 30907
  • Phone: (706) 922-0440

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine40826GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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