# WILLIAM J LIVESAY JR DO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558533588
- **Authorized official:** DR. WILLIAM J LIVESAY JR. MD (OWNER)
- **Authorized official phone:** (843) 367-0872

## Contact information

- **Practice address:** 9181 MEDCOM ST, N CHARLESTON, SC 29406-9168
- **Practice address phone:** (843) 266-9002
- **Mailing address:** 125D WAPPOO DRIVE, CHARLESTON, SC 29412
- **Mailing address phone:** (843) 266-9002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 3910 | AZ | Yes |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 03/31/2008