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Individual
WILBUR D LIVINGSTON JR.
Active
Individual
WILBUR D LIVINGSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10622
SC
208800000X
Urology Physician
30061
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00041111
AETNA
SC
05
—
106227
—
SC
01
—
136H0
BCBS OF NC
NC
01
—
1905792
UNITED HEALTHCARE
SC
01
—
27149
MEDCOST
SC
01
—
279865
MAMSI
SC
01
—
760696
GREAT WEST
SC
05
—
7906087
—
NC
05
—
89136H0
—
NC
Enumeration date
11/17/2006
Last updated
03/31/2015
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