JACKIE ALLEN LIVESAY

MORRISTOWN, TN
NPI1811944002
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: TN  30899)
Enumeration Date2006-05-31
Last Update Date2017-02-21
Business Address
-- JACKIE ALLEN LIVESAY MD
908 W 4TH NORTH ST
MORRISTOWN, TN 37814-3894
Phone number: 423-492-5400
Mailing Address
-- JACKIE ALLEN LIVESAY MD
1032 ASHLEY CT
MORRISTOWN, TN 37814-1699
Phone number:
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