Individual
HENLEY LIVINGSTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
208 WEST FORT WILLIAMS, SYLACAUGA, AL 35150
(256) 249-0943
(256) 249-0941
Mailing address
208 WEST FORT WILLIAMS, SYLACAUGA, AL 35150
(256) 249-0943
(256) 249-0941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1094184
AL
Other
Enumeration date
01/05/2006
Last updated
07/08/2007
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