Individual
RILEY BAKER LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
4916 PROVENCE CIR, VESTAVIA HILLS, AL 35242-2286
(205) 585-4421
(833) 377-4539
Mailing address
4916 PROVENCE CIR, VESTAVIA HILLS, AL 35242-2286
(205) 585-4421
(833) 377-4539
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.30591
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217430
—
AL
01
—
512-08979
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
05/07/2009
Last updated
11/10/2020
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