Individual
MRS. CAROLYN D LIVSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
450 WINN WAY, DECATUR, GA 30030-1715
(404) 294-0499
Mailing address
4622 CEDAR RIDGE TRL, STONE MOUNTAIN, GA 30083-5621
(770) 808-0913
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN084111
GA
Other
Enumeration date
04/24/2007
Last updated
10/03/2007
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