Organization
WILLIAM J LIVESAY JR DO LLC
Active
Other names
Charleston PM&R
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JOSEPH LIVESAY JR. D.O. (OWNER)
(843) 654-9279
Entity
Organization
Contact information
Practice address
180 WINGO WAY STE 308, MOUNT PLEASANT, SC 29464
(843) 654-9279
(843) 388-7513
Mailing address
180 WINGO WAY STE 308, MOUNT PLEASANT, SC 29464-1812
(843) 654-9279
(843) 388-7513
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
07/30/2018
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