| NPI | 1265770515 |
|---|---|
| Doing Business As | LIVEON MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ERNIE FLETCHER CEO/Physician 770-302-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 64538) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2019-03-13 |