NPI | 1306639851 |
---|---|
Doing Business As | LIVEWELL PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | DANIEL CLAY CONVILLE Vice President, Physician Services 205-759-6165 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
Enumeration Date | 2025-05-27 |
Last Update Date | 2025-05-27 |