Organization
ROBERT E LIVINGSTON III MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E LIVINGSTON III MD (SOLE PROPRIETOR)
(803) 276-0004
Entity
Organization
Contact information
Practice address
2624 MAIN ST, NEWBERRY, SC 29108-4002
(803) 276-0004
(803) 276-0006
Mailing address
PO BOX 130, NEWBERRY, SC 29108-0130
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050830
—
SC
01
—
DE9043
RAILROAD MEDICARE
SC
Enumeration date
09/21/2007
Last updated
03/12/2013
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