Individual
DR. CHAD A. LIVASY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD FL 4, CHARLOTTE, NC 28203-5812
(704) 973-5500
Mailing address
PO BOX 96782, CHARLOTTE, NC 28296-6782
(704) 973-5500
(704) 973-5518
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
32262
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
9801359
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32262
STATE MD LICENSE
SC
05
—
89127UE
—
NC
01
—
9801359
STATE MD LICENSE
NC
Enumeration date
10/05/2006
Last updated
11/18/2024
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