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Individual

MARIE P. LIVIGNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
251 UNIVERSITY BLVD STE B, CONWAY, SC 29526-8834
(843) 347-1012
(843) 347-1218
Mailing address
300 SINGLETON RIDGE RD, ATTN CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1573
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015735
SC
Enumeration date
11/14/2005
Last updated
04/04/2025
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