| NPI | 1245006311 |
|---|---|
| Doing Business As | LIVEWELL CLINICS |
| Entity Type | Organization |
| Authorized Contact | RUSSELL MARS HOWERTON Sr VP Network Phys & Hscmo 336-716-1331 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-12-05 |