Individual
LIVIA M CAPUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 GARREDD BLVD, SUITE A, AUGUSTA, GA 30909-6674
(706) 863-5776
(706) 868-7057
Mailing address
1111 GARREDD BLVD, SUITE A, AUGUSTA, GA 30909-6674
(706) 863-5776
(706) 868-7057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036646
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00560777A
—
GA
Enumeration date
11/22/2006
Last updated
12/13/2012
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