Individual
DR. WILEY KEMP LIVINGSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
927 MEDICAL CENTER DR, BESSEMER, AL 35022-6081
(205) 481-8670
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-0777
(205) 481-7670
(205) 481-7573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9387
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941418
—
AL
01
—
051539255
BLUE CROSS
AL
Enumeration date
01/19/2006
Last updated
05/04/2021
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