Individual
R LEVERN LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BISHOP GADSDEN WAY STE 97, CHARLESTON, SC 29412-3506
(843) 402-2362
(843) 606-8082
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11541
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080178546
RR MEDICARE
SC
05
—
115413
—
SC
01
—
P00011989
RR MEDICARE
SC
01
—
P00727207
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
06/06/2006
Last updated
04/09/2025
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