Individual
MATTIE MITCHELL LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 STROMAN WAY, WARNER ROBINS, GA 31088-2532
(478) 397-4327
Mailing address
112 STROMAN WAY, WARNER ROBINS, GA 31088-2532
(478) 397-4327
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN287690
GA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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