Individual
DR. CRAIG CARROLL LIVESAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
306 SUNSET DRIVE, STE 100, JOHNSON CITY, TN 37604
(423) 926-8304
(423) 926-5976
Mailing address
306 SUNSET DR STE 100, JOHNSON CITY, TN 37604-2492
(423) 926-8304
(423) 926-5976
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1860
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4105709
BCBS
TN
05
—
Q027618
—
TN
Enumeration date
01/22/2007
Last updated
12/30/2021
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