# WILBUR D LIVINGSTON JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942374509
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 10622 | SC | Yes |
| 208800000X | Urology Physician | 30061 | NC | — |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 03/31/2015

## 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 |