Individual
DR. JAMES ELLIS LIVELY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 234-0123
Mailing address
2000 EOFF ST, WHEELING, WV 26003-3823
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ED0314A
WV
Other
Enumeration date
08/14/2012
Last updated
03/28/2013
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