Individual
DR. JONATHAN LIVEZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905
(706) 787-1647
Mailing address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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