| NPI | 1629873492 |
|---|---|
| Doing Business As | LIVINGWELL MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LESLIE WEAVER Owner 706-965-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |