Individual
RITA RENA LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5674
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5674
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207Q00000X
Family Medicine Physician
LL30129
SC
2083P0901X
Public Health & General Preventive Medicine Physician
063494
GA
2083X0100X
Occupational Medicine Physician
Primary
063494
GA
Other
Enumeration date
07/20/2007
Last updated
06/21/2023
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