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Organization

LIVINGSTON CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM RUSS SIMPKINS M.D. (PRESIDENT)
(205) 652-2686
Entity
Organization

Contact information

Practice address
107 HOSPITAL DR, PO DRAWER T, LIVINGSTON, AL 35470-5742
(205) 652-2686
(205) 652-7093
Mailing address
107 HOSPITAL DR, PO DRAWER T, LIVINGSTON, AL 35470-5742
(205) 652-2686
(205) 652-7093

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5674
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000005805
AL
Enumeration date
12/06/2011
Last updated
12/06/2011
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