| NPI | 1861733784 |
|---|---|
| Doing Business As | LIVE WELL MD |
| Entity Type | Organization |
| Authorized Contact | STEPHEN HAROLD ROSS Practice Adminstrator 912-352-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 055437) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |