| NPI | 1134204001 |
|---|---|
| Doing Business As | LIVINGSTON SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MARK DEWAYNE NOWELL Md Owner 931-403-5180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 36071) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-10-09 |