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1811944002
JACKIE ALLEN LIVESAY
MORRISTOWN, TN
NPI
1811944002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TN 30899)
Enumeration Date
2006-05-31
Last Update Date
2017-02-21
Business Address
JACKIE ALLEN LIVESAY MD
908 W 4TH NORTH ST
MORRISTOWN, TN 37814-3894
Phone number: 423-492-5400
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Mailing Address
JACKIE ALLEN LIVESAY MD
1032 ASHLEY CT
MORRISTOWN, TN 37814-1699
Phone number:
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