Organization
LIVE HEALTHY MD LLC
Active
Organization
LIVE HEALTHY MD LLC
Active
Parent organization
LIVE HEALTHY MD LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVE HEALTHY MD LLC
Authorized official
DR. EDWARD H BOLAND MD (PHYSICIAN)
(706) 922-0440
Entity
Organization
Contact information
Practice address
3830 WASHINGTON RD, STE 17, AUGUSTA, GA 30907-5064
(706) 922-0440
(706) 922-0441
Mailing address
2101 CENTRAL AVE, AUGUSTA, GA 30904-6706
(706) 738-3359
(706) 738-0565
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
40826
GA
Other
Enumeration date
01/19/2012
Last updated
01/30/2012
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