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Individual
AUSTIN LIVELY
Active
Individual
AUSTIN LIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
080335
GA
208000000X
Pediatrics Physician
Primary
37983
AL
208000000X
Pediatrics Physician
7481
GA
Other
Enumeration date
06/29/2015
Last updated
08/05/2019
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