Individual
MRS. KELLY LEIGH LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD NE, SUITE 530, ATLANTA, GA 30342-5000
(404) 257-1415
(404) 851-1649
Mailing address
3192 CLAIRWOOD TER, CHAMBLEE, GA 30341-3214
(404) 226-2933
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
PENDING
GA
Other
Enumeration date
06/25/2008
Last updated
02/15/2010
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