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Organization

LIV SPECIALTY CARE CT PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WOODRUFF HALL BAUM (CEO)
(646) 568-0193
Entity
Organization

Contact information

Practice address
1809 REISTERSTOWN RD STE 111, PIKESVILLE, MD 21208-6329
(410) 904-6626
Mailing address
4900 CENTENNIAL BLVD STE 300, NASHVILLE, TN 37209-1105

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
09/16/2025
Last updated
09/16/2025
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