Individual
TAWIAN MCKENNON LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3885 PRINCETON LAKES WAY SW STE 300, ATLANTA, GA 30331-5590
(404) 344-0059
Mailing address
3885 PRINCETON LAKES WAY SW STE 300, ATLANTA, GA 30331-5590
(404) 344-0059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22746
SC
207R00000X
Internal Medicine Physician
Primary
58980
GA
Other
Enumeration date
07/08/2005
Last updated
01/22/2020
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