Individual
DR. WILLIAM J LIVESAY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9181 MEDCOM ST, NORTH CHARLESTON, SC 29406
(843) 820-7767
(843) 820-7798
Mailing address
295 SEVEN FARMS DR, SUITE C-197, DANIEL ISLAND, SC 29492-8001
(843) 654-9279
(843) 388-7513
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1150
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011505
—
SC
Enumeration date
07/03/2006
Last updated
08/01/2018
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