Individual
DR. GEORGE H. LIVERMORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1595 HIGHWAY 34 E, NEWNAN, GA 30265-2353
(678) 206-2202
(678) 673-5155
Mailing address
925 N POINT PKWY, STE 130, ALPHARETTA, GA 30005-5210
(678) 206-2589
(678) 261-1713
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036559
GA
207Y00000X
Otolaryngology Physician
36539
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148497001
—
AR
01
—
184653
BCBS MO NUMBER
MO
05
—
209212901
—
MO
01
—
430741410
FIRST HEALTH NUMBER
MO
01
—
43074141063801A010
TRICARE NUMBER
MO
01
—
636259
HEALTHLINK NUMBER
MO
Enumeration date
01/05/2006
Last updated
12/16/2016
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